Active NPI
Angela Neva Ballard, PA-C
- Physician Assistant
- West Lake Hills, TX
National Provider Identifier
1063947901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA11153
- Practice address
- 4201 Bee Caves Rd Ste C100
West Lake Hills, TX 78746-6493 - Phone
- (512) 327-1155
- Fax
- (512) 327-1156
- NPI assigned
- Apr 28, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11153 | TX | Primary |
Addresses
Primary practice location
4201 Bee Caves Rd Ste C100
West Lake Hills, TX 78746-6493
Mailing address
6034 W Courtyard Dr Ste 110
Austin, TX 78730-5064
Phone (512) 328-2266
Other names 1
- Angela Neva Correale
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA11153 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Health Partners PLLC | Past | Accepting new patients |
Interoperability endpoints
- angela.ballard.1@11316.direct.athenahealth.com
- https://api.platform.athenahealth.com/11316/brand/5/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Cedar Park, TX
- NPI 1144724261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1063947901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6034 W COURTYARD DR STE 110",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787305064",
"telephone_number": "512-328-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 BEE CAVES RD STE C100",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466493",
"telephone_number": "512-327-1155",
"fax_number": "512-327-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "ANGELA",
"middle_name": "NEVA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-28",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA11153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "CORREALE",
"middle_name": "NEVA",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.