Individual provider Active NPI

Casey Rhae Ball, FNP-BC

  • Family Nurse Practitioner
  • Rolla, MO
National Provider Identifier
1194053827
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2001019164 Issued in MO
Practice address
910 W 10TH St
Rolla, MO 65409-3512
Phone
(573) 341-4284
Fax
(573) 341-6967
NPI assigned
Nov 18, 2009
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2001019164 MO Primary

Addresses

Primary practice location

910 W 10TH St
Rolla, MO 65409-3512

Mailing address

910 W 10TH St
Rolla, MO 65409-6519
Phone (573) 341-4284

Other names 1

  • Casey Rhae McAllister Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001019164MOMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: casey.ball@direct.mymlc.com

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1194053827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654096519",
            "telephone_number": "573-341-4284",
            "fax_number": "573-341-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654093512",
            "telephone_number": "573-341-4284",
            "fax_number": "573-341-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "CASEY",
        "middle_name": "RHAE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2001019164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "MCALLISTER",
            "middle_name": "RHAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.