Katharine E Ballato, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

382536 Issued in NY

Practice address

937 Port Washington Blvd
Port Washington, NY 11050-2910

Phone

(516) 883-2755

NPI assigned

Jul 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1114449170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 UNDERHILL AVE",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601829",
            "telephone_number": "516-305-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 PORT WASHINGTON BLVD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502910",
            "telephone_number": "516-883-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLATO",
        "first_name": "KATHARINE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Bagnini, LCSW
• Susan M Bagnini, LCSW
• Dara Bain
• Nan Bakamjian, M.S., L.AC.
• Balanced Medical PLLC
• Dani Baltimore
• Naomi Barasch, LCSW
• Addison Barman, M.D.
• Sandra Patricia Bastidas, RN, ANP
• James Bautista

• Pediatric Nurse Practitioner in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.