Individual provider Active NPI

Katherine Ballard, LPOA

  • Prosthetist
  • Webster, TX
National Provider Identifier
1194122309
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
1247 Issued in TX
Practice address
17490 Highway 3 Ste 100a
Webster, TX 77598-4160
Phone
(281) 332-4888
Fax
(281) 332-1834
NPI assigned
Dec 3, 2014
Last updated
Dec 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 1247 TX
Prosthetist 224P00000X 1247 TX Primary

Addresses

Primary practice location

17490 Highway 3 Ste 100a
Webster, TX 77598-4160

Mailing address

17490 Highway 3 Ste 100a
Webster, TX 77598-4160
Phone (281) 332-4888

Other names 1

  • Katherine Garrett 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1247TXMDAnesthesiologist Assistant

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1194122309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17490 HIGHWAY 3 STE 100A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984160",
            "telephone_number": "281-332-4888",
            "fax_number": "281-332-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17490 HIGHWAY 3 STE 100A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984160",
            "telephone_number": "281-332-4888",
            "fax_number": "281-332-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "KATHERINE",
        "credential": "LPOA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "1247",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "1247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "GARRETT",
            "credential": "LPOA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.