Active NPI
Dave R Balbarada, APRN, ACNPC-AG
- Acute Care Nurse Practitioner
- Nashville, TN
National Provider Identifier
1245828706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 28806
- Practice address
- 1310 24TH Ave S
Nashville, TN 37212-2637 - Phone
- (615) 873-7930
- NPI assigned
- Jan 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 28806 | TN | Primary |
Addresses
Primary practice location
1310 24TH Ave S
Nashville, TN 37212-2637
Mailing address
1063 Woodbury Falls Dr
Nashville, TN 37221-1418
Phone (615) 638-9454
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000271930 | Other | AMERICAN ASSOCIATION OF CRITICAL CARE NURSES | |
| 28806 | Other | TN | TN BOARD OF NURSING |
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 |
|---|---|---|---|
| 28806 | TN | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610150400000",
"number": "1245828706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1063 WOODBURY FALLS DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372211418",
"telephone_number": "615-638-9454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 24TH AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122637",
"telephone_number": "615-873-7930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALBARADA",
"first_name": "DAVE",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "APRN, ACNPC-AG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-09",
"last_updated": "2021-01-09",
"certification_date": "2021-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "28806",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ASSOCIATION OF CRITICAL CARE NURSES",
"identifier": "2000271930",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN BOARD OF NURSING",
"identifier": "28806",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.