Repunda Mims Ball

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

10737 Issued in LA

Practice address

7505 Pines Rd Ste 1104
Shreveport, LA 71129-3900

Phone

(318) 671-1772

Fax

(318) 671-1774

NPI assigned

Apr 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194945360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 PINES RD STE.1104",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71129",
            "telephone_number": "318-671-1772",
            "fax_number": "318-671-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 PINES RD STE 1104",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293900",
            "telephone_number": "318-671-1772",
            "fax_number": "318-671-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "REPUNDA",
        "middle_name": "MIMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "LA",
            "license": "10737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1172057",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1542946",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1178969",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1545180",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Baldwin
• Balentine Ambulance Service Inc.
• Nemanja Baletic, MD, MS
• Betsy Emanuel Ball, MD
• Deandrea Mikayla Ball
• Sally S. Ball, MD
• Kathleen Ballard, NP
• Lauren Ballard
• Shravya Balmuri, MD
• Roxana Baluna, M.D.

• Adult Companion in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Adult Companion in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.