Dana Renee Balagot Mort, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP045914 Issued in AZ

Practice address

8700 S Kyrene Rd
Tempe, AZ 85284-2108

Phone

(602) 599-3889

NPI assigned

Jan 4, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1013373281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 E ELLIS ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426331",
            "telephone_number": "602-599-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 S KYRENE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842108",
            "telephone_number": "602-599-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAGOT MORT",
        "first_name": "DANA",
        "middle_name": "RENEE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP045914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Dawn Baker, M.S., CCC-SLP
• Melissa Maureen Baker
• Tammy Baker, CNA
• Bakorp LLC
• Bakorp, LLC
• Rachel Baldwin, DTR
• Steven Alex Baldwin, MD
• Jordan Ball
• John Balles, PH.D.
• Willie Benjamin Ballou, NP-C

• All providers in Tempe, AZ
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.