Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BIANCA L CALLOWAY
NPI 1790680122
Nurse Practitioner - Psychiatric/Mental Health in Fairview Heights, IL

Q: What is Bianca Calloway's NPI number?

The NPI number for Bianca Calloway is 1790680122. It was assigned to this individual provider in the NPPES registry on October 14, 2026.

Q: What is Bianca Calloway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Bianca Calloway was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 14, 2026

329 PLEASANT RIDGE RD, FAIRVIEW HEIGHTS, IL 62208(618) 593-7163 Get Directions Write a Review

NPPES record added: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Bianca L Calloway NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIANCA L CALLOWAY (NPI 1790680122) is an individual psychiatric/mental health provider in Fairview Heights, Illinois, licensed in Missouri (2026016338) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1790680122

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameBIANCA L CALLOWAY

Location Address329 PLEASANT RIDGE RDFairview Heights, IL 62208-1208

Mailing Address329 Pleasant Ridge RdFairview Heights, IL 62208-1208

Phone(618) 593-7163

Sole ProprietorYes

Enumeration DateOctober 14, 2026

NPPES CertifiedOctober 14, 2026

✔ NPI 1790680122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MO · 2026016338

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209035164 (IL)

329 PLEASANT RIDGE RD, Fairview Heights, IL 62208

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bianca Calloway's NPI number?

The NPI number for Bianca Calloway is 1790680122. It was assigned to this individual provider in the NPPES registry on October 14, 2026.

Where is Bianca Calloway located?

Bianca Calloway practices at 329 Pleasant Ridge Rd, Fairview Heights, IL 62208. The listed phone number is (618) 593-7163.

What is Bianca Calloway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Bianca Calloway was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.