Active NPI
Patricia Balassone
- Registered Nurse
- Columbus, OH
National Provider Identifier
1063548774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.220496-COA1
- Practice address
- 1875 Millikin Rd
Columbus, OH 43210-2200 - Phone
- (614) 292-0113
- Fax
- (617) 247-6074
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.220496-COA1 | OH | Primary |
Addresses
Primary practice location
1875 Millikin Rd
Columbus, OH 43210-2200
Mailing address
1875 Millikin Rd
Columbus, OH 43210-2200
Phone (614) 292-0113
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| COA.00459-NP | Other | OH | NURSE PRACTIONER |
| RN.220496-COA1 | Other | OH | NURSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.220496-COA1 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063548774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1875 MILLIKIN RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432102200",
"telephone_number": "614-292-0113",
"fax_number": "617-247-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 MILLIKIN RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432102200",
"telephone_number": "614-292-0113",
"fax_number": "617-247-6074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALASSONE",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.220496-COA1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTIONER",
"identifier": "COA.00459-NP",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE",
"identifier": "RN.220496-COA1",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.