Organization Active NPI

Laurie K. Ballew

  • Psychiatry Physician
  • Paducah, KY
National Provider Identifier
1023591617
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LAURIE K. BALLEW
Practice address
657 Lone Oak Rd Ste 2
Paducah, KY 42003-4547
Phone
(270) 558-4174
Fax
(270) 534-5753
NPI assigned
Sep 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Authorized official

Name
Dr. Laurie K. Ballew, D.O.
Title
Owner
Phone
(270) 558-4174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

657 Lone Oak Rd Ste 2
Paducah, KY 42003-4547

Mailing address

657 Lone Oak Rd Ste 2
Paducah, KY 42003-4547
Phone (270) 558-4174

Other identifiers 1

IdentifierTypeStateIssuer
2436OtherKYMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

803 Country Club Ln
Ste A
Hopkinsville, KY 42240
Phone (270) 632-1685

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1023591617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 LONE OAK RD STE 2",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034547",
            "telephone_number": "270-558-4174",
            "fax_number": "270-534-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 LONE OAK RD STE 2",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034547",
            "telephone_number": "270-558-4174",
            "fax_number": "270-534-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE K. BALLEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "BALLEW",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-558-4174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "2436",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.