Active NPI
Casey Rhae Ball, FNP-BC
- Family Nurse Practitioner
- Rolla, MO
National Provider Identifier
1194053827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2001019164
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2001019164 | MO | MD | Family Nurse Practitioner |
Interoperability endpoints
- 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.