Carolyn Kay Ballard, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R080296 Issued in AR

Practice address

2305 Old County Rd
Pocahontas, AR 72455-4148

Phone

(870) 892-1005

Fax

(870) 892-0078

NPI assigned

May 19, 2008

Last updated

Nov 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1134386162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 PLEASANT GROVE RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017870",
            "telephone_number": "870-933-6886",
            "fax_number": "870-933-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 OLD COUNTY RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724554148",
            "telephone_number": "870-892-1005",
            "fax_number": "870-892-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "CAROLYN",
        "middle_name": "KAY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R80296",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R080296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169879795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Associated Health Care Systems of Randolph County Inc. (Randolph County Medical Center Home Health)
• Associated Healthcare Systems of Randolph County (Randolph County Medical Center)
• Associated Healthcare Systems of Randolph County, Inc. (Randolph County E.R. Group)
• Lauran Alexsandra Avery
• Back in Motion Chiropractic PLLC
• Lillian Elizabeth Ballard, QBHP
• Alexander J Baltz, MD
• Austin Baltz, PTA
• Daniel Baltz, OD
• Holly Ann Baltz

• Registered Nurse in Pocahontas, AR
• Providers in Pocahontas, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.