Active NPI
Clara K Ballah
- Registered Nurse
- Fargo, ND
National Provider Identifier
1194529164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R55333
- Practice address
- 1848 39TH St S Apt 303
Fargo, ND 58103-4437 - Phone
- (701) 405-3312
- NPI assigned
- Apr 1, 2025
- Last updated
- Apr 1, 2025
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R55333 | ND | Primary |
Addresses
Primary practice location
1848 39TH St S Apt 303
Fargo, ND 58103-4437
Mailing address
1848 39TH St S Apt 303
Fargo, ND 58103-4437
Phone (701) 405-3312
Other names 1
- Clara Kolu Ballah
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
| License | State | Type | Specialty |
|---|---|---|---|
| R55333 | ND | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chronicle Home Care PLLC | Current | Accepting new patients | |
| Caring Hearts Home Care LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- In Home Supportive Care Agency
- Fargo, ND
- NPI 1194529800
-
- Home Health Registered Nurse
- Fargo, ND
- NPI 1144186941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1194529164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1848 39TH ST S APT 303",
"city": "FARGO",
"state": "ND",
"postal_code": "581034437",
"telephone_number": "701-405-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1848 39TH ST S APT 303",
"city": "FARGO",
"state": "ND",
"postal_code": "581034437",
"telephone_number": "701-405-3312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLAH",
"first_name": "CLARA",
"middle_name": "K",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-01",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ND",
"license": "R55333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLARA",
"last_name": "BALLAH",
"middle_name": "KOLU",
"credential": "RN/BSN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.