Ketty Alexandria Baalla, B.A.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

16757 Issued in NY

Practice address

80 E End Ave
Clarke School New York
New York, NY 10028-8004

Phone

(212) 585-3500

NPI assigned

Jun 26, 2012

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

Other identifiers 1

Other names 1

• Ms. Ketty Alexandria Nazario Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

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.

• Clarke School for the Deaf, the

  • Early Intervention Provider Agency
  • New York, NY
  • NPI 1720225832
  NPD (past)

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1134483084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E END AVE",
            "address_2": "CLARKE SCHOOL NEW YORK",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100288004",
            "telephone_number": "212-585-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E END AVE",
            "address_2": "CLARKE SCHOOL NEW YORK",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100288004",
            "telephone_number": "212-585-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAALLA",
        "first_name": "KETTY",
        "middle_name": "ALEXANDRIA",
        "name_prefix": "Ms.",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "16757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SERVICE COORDINATION ID",
            "identifier": "16757",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KETTY",
            "last_name": "NAZARIO",
            "middle_name": "ALEXANDRIA",
            "prefix": "MS.",
            "credential": "B.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• B2 Hearing Ny Inc.
• Michael John Baad, M.D.
• Emelia Baah, FNP
• Ali A Baaj, M.D.
• Lila Renee Baaklini, MD
• Hae Young Baang, MD
• Nicole G Baarck, MD
• Ridhwan Yousuf Baba, MD
• Roxana Baba, MD
• Ronnie Babadzhanov

• All providers in New York, NY
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.