Active NPI
Peggy Ballard Place, F.N.P.
- Family Nurse Practitioner
- Grass Valley, CA
National Provider Identifier
1013075316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10309
- Practice address
- 10052 Alta Sierra Dr
Grass Valley, CA 95949-6886 - Phone
- (530) 477-9100
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10309 | CA | Primary |
Addresses
Primary practice location
10052 Alta Sierra Dr
Grass Valley, CA 95949-6886
Mailing address
16131 Brooks Rd
Grass Valley, CA 95945-4314
Phone (530) 273-1320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013075316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16131 BROOKS RD",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959454314",
"telephone_number": "530-273-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10052 ALTA SIERRA DR",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959496886",
"telephone_number": "530-477-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLACE",
"first_name": "PEGGY",
"middle_name": "BALLARD",
"name_prefix": "Ms.",
"credential": "F.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "10309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.