NPIMap

Organization Active NPI

Ballaura Incorporated

  • Specialist
  • Olympia, WA
National Provider Identifier
1053564666
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00022961 Issued in WA
Legal business name
BALLAURA INCORPORATED
Practice address
2413 Pacific Ave SE
Suite D
Olympia, WA 98501-2087
Phone
(360) 539-7726
Fax
(360) 539-7729
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Ms. Nicole B Ball, LMP
Title
President
Phone
(360) 539-7726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA00022961 WA Primary

Addresses

Primary practice location

2413 Pacific Ave SE
Suite D
Olympia, WA 98501-2087

Mailing address

PO Box 8022
Lacey, WA 98509-8022
Phone (360) 539-7726

Other names 1

  • Ballaura Massage Other name

National Provider Directory

National Provider Directory

Locations

2413 Pacific Ave SE
Ste D
Olympia, WA 98501
Phone (253) 241-5730

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1053564666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8022",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985098022",
            "telephone_number": "360-539-7726",
            "fax_number": "360-539-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 PACIFIC AVE SE",
            "address_2": "SUITE D",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012087",
            "telephone_number": "360-539-7726",
            "fax_number": "360-539-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLAURA INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-539-7726",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00022961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballaura Massage",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.