Individual provider Active NPI

Diana Balbarin, APRN

  • Gerontology Nurse Practitioner
  • Mount Prospect, IL
National Provider Identifier
1235601188
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
209018528 Issued in IL
Practice address
500 W Central Rd Ste 204
Mt Prospect, IL 60056-2381
Phone
(847) 376-8144
NPI assigned
Dec 17, 2018
Last updated
Dec 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 209018528 IL Primary

Addresses

Primary practice location

500 W Central Rd Ste 204
Mt Prospect, IL 60056-2381

Mailing address

2732 W Catalpa Ave Apt 2
Chicago, IL 60625-3216
Phone (847) 312-0333

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reliable Visiting Physicians Inc PastSince Mar 31, 2018 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1235601188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 W CATALPA AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253216",
            "telephone_number": "847-312-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W CENTRAL RD STE 204",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600562381",
            "telephone_number": "847-376-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALBARIN",
        "first_name": "DIANA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209018528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.