Lucinda Ann Ballas, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

079034619N3 ANP-PP Issued in OR

Practice address

17704 Jean Way
105
Lake Oswego, OR 97035-5497

Phone

(503) 675-6776

Fax

(503) 675-2572

NPI assigned

Dec 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Kara M Kassay, MD, PC

  • Medical Specialty Clinic/Center
  • Portland, OR
  • NPI 1700073350
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245396720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 NE 31ST PL",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970132104",
            "telephone_number": "503-651-3322",
            "fax_number": "503-651-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17704 JEAN WAY",
            "address_2": "105",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355497",
            "telephone_number": "503-675-6776",
            "fax_number": "503-675-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLAS",
        "first_name": "LUCINDA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "079034619N3 ANP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasroop Bains
• Alexis Baker, MT-BC
• Deborah Ann Baker, M.A.
• Kristen Jensine Baker
• Anna Ball, DMD
• Anthony Baltazar
• Alison Rieke Bame, RDN
• Alexia Banks
• Banyan Wellness Center (Verdant Path Mental Health)
• Stephanie M Barayuga, MD

• Adult Health Nurse Practitioner in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Adult Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.