Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ayesha Bacchus

Individual provider Pediatric Nurse Practitioner · NPI 1477265759

Ayesha Bacchus is a Pediatric Nurse Practitioner in Round Rock, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2022

Practice location Address checks out

16040 Park Valley Dr Ste 227
Round Rock, TX 78681-3596
Phone: (512) 255-7337
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 1102199 (TX)

Record details

NPI number1477265759
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 19, 2022
Last updated in NPPESMay 3, 2024
Certification dateMay 3, 2024
Mailing address16040 Park Valley Dr Ste 227, Round Rock, TX 78681-3596

Other providers in Round Rock