Liza Rose Ibanez Balacang, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN-98545 Issued in HI

Practice address

446A Onehee Ave
Kahului, HI 96732-1704

Phone

(808) 463-4775

NPI assigned

Dec 4, 2020

Last updated

Dec 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1154926202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446A ONEHEE AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321704",
            "telephone_number": "808-463-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446A ONEHEE AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321704",
            "telephone_number": "808-463-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALACANG",
        "first_name": "LIZA ROSE",
        "middle_name": "IBANEZ",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "98545",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN-98545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John E Avallone, D.C.
• B.C.P., Inc. Dba/ Bayada Home Health Care
• Jennifer Baba, LMT
• Vanessa Baggs, LCSW
• Karen McCoy Baker
• Rya Joy Baligad, PT, PTA
• Jane Balitsky, RN, CNP
• Jennifer C Ban, OT
• Arnel Abasolo Banchiran, RBT
• Josette Marie Barrett

• Registered Nurse in Kahului, HI
• Providers in Kahului, HI by specialty
• Registered Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.