Priscilla Elizabeth Baltz, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R109041 Issued in AR

Practice address

4301 W Markham St
Little Rock, AR 72205-7101

Phone

(479) 530-7617

NPI assigned

Apr 23, 2025

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1013704899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 N HILLS RD",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720195446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "479-530-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTZ",
        "first_name": "PRISCILLA",
        "middle_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R109041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan P Baltz, MD
• Brad Patrick Baltz, MD
• Katherine H Baltz, M.D.
• Matthew Baltz, MD
• Nicholas John Baltz, MD
• Tracy C Baltz, MD
• Julia Nichole Bammann
• Emily Banda, PHARMD
• Lawrence Curtis Bandy, MD
• Brian Banks, MHPP

• Registered Nurse in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.