Rosa Ballard, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

6342 Issued in AK

Practice address

3830 S Cushman St
Fairbanks, AK 99701-7530

Phone

(907) 452-1575

NPI assigned

Feb 24, 2010

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)

Not enrolled

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1174845671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 COWLES ST APT 6",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015938",
            "telephone_number": "907-374-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 S CUSHMAN ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017530",
            "telephone_number": "907-452-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "ROSA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AK",
            "license": "6342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Ball
• Cassandra Ball
• Lorraine Margaret Ball, RPH
• Ballaine Psychological Services Inc
• Margaret Dublin Ballard
• Tawanda Betty Ballard
• Melissa J Balvanz, OTR/L
• Flor M Banks, LMT, CMT
• Banner Health
• Banner Health Physicians Alaska LLC

• Licensed Practical Nurse in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Licensed Practical Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.