Individual provider Active NPI

Angela Neva Ballard, PA-C

  • Physician Assistant
  • West Lake Hills, TX
National Provider Identifier
1063947901
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11153 Issued in TX
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

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
PA11153TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Health Partners PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: angela.ballard.1@11316.direct.athenahealth.com
  • FHIR API: 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.

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.

Verify at the official NPI Registry.