Kimanda Ballard

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

152638 Issued in OK

Practice address

9102 N Garnett Rd
Owasso, OK 74055-4470

Phone

(918) 516-2524

NPI assigned

Mar 17, 2025

Last updated

Mar 17, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1184424210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16560 RANCHLAND RD",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740706001",
            "telephone_number": "918-500-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9102 N GARNETT RD",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554470",
            "telephone_number": "918-516-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "KIMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "OK",
            "license": "152638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Trigalet Bader, D.O.
• Bailey Medical Center, LLC
• Lisa Louise Baker, COTA/L
• Ballard Chiropractic (Complete Care Chiropractic)
• Jonathan Ballard, D.C.
• Baptist Village Retirement Communities of Oklahoma, Inc (Entrusted Hearts Private Services)
• Baptist Village Retirement Communities of Oklahoma, Inc (Entrusted Hearts Medical Equipment)
• Baptist Village Retirement Communities of Oklahoma, Inc. (Baptist Village of Owasso)
• Kaley Barger
• Danielle Barker, LPC

• Diagnostic Ultrasound Physician in Owasso, OK
• Providers in Owasso, OK by specialty
• Diagnostic Ultrasound Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.