Individual provider Active NPI

Seon Hui Balistrere, APRN

  • Adult Health Nurse Practitioner
  • Hopkinsville, KY
National Provider Identifier
1033826946
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3018423 Issued in KY
Practice address
1724 Kenton St Ste 1B
Hopkinsville, KY 42240-1981
Phone
(270) 886-8840
NPI assigned
Oct 31, 2022
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3018423 KY Primary
Gerontology Nurse Practitioner 363LG0600X 3018423 KY

Addresses

Primary practice location

1724 Kenton St Ste 1B
Hopkinsville, KY 42240-1981

Mailing address

1724 Kenton St Ste 1B
Hopkinsville, KY 42240-1981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221227002114 KY Practitioner - Nurse Practitioner 9739559246 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western Kentucky Pulmonary Clinic CurrentSince Nov 7, 2022 Accepting new patients

Locations

1724 Kenton St
Ste 1B
Hopkinsville, KY 42240
Phone (270) 886-8840

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1033826946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 KENTON ST STE 1B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 KENTON ST STE 1B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401981",
            "telephone_number": "270-886-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALISTRERE",
        "first_name": "SEON HUI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3018423",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3018423",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.