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

Kelly C Banonis, NP

Individual provider Family Nurse Practitioner · NPI 1790395531

Kelly C Banonis, NP is a Nurse Practitioner in Victoria, Texas. Qualified in 2020, 6 years ago. Practices with Regional Employee Assistance Program Inc, a 102-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Texas.

Years since qualifying
6
Licensed in
AZ, TX
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

605 E San Antonio St Ste 510E
Victoria, TX 77901-6011
Phone: (361) 576-9342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1706 N Virginia St, Port Lavaca, TX 77979-2253 — (361) 551-6090

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1112632 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 245540 (AZ)

Record details

NPI number1790395531
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 6, 2020
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Regional Employee Assistance Program Inc — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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