Alexandra Marie Balmaceda

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Wake Forest Baptist Medical Center Pathology Dept
#1 Medical Center Blvd.
Winston-Salem, NC 27157

Phone

(336) 716-4311

NPI assigned

Apr 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1255960241",
    "addresses": [
        {
            "country_code": "CO",
            "country_name": "Colombia",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "VIA CHIPAYA KM 3 RIBERAS DE LAS MERCEDES CASA 104",
            "city": "JAMUNDI",
            "state": "VALLE DEL CAUCA",
            "postal_code": "00000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WAKE FOREST BAPTIST MEDICAL CENTER PATHOLOGY DEPT",
            "address_2": "#1 MEDICAL CENTER BLVD.",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27157",
            "telephone_number": "336-716-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALMACEDA",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "390200000X",
            "affiliation": "N",
            "endpointDescription": "390200000X",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "336-716-4311",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Wake Forest Baptist Medical Center Pathology Dept",
            "address_2": "#1 Medical Center Blvd.",
            "city": "Winston-Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Brodie Ballard, RN
• Theodora Tsiaras Ballas, PHARMD
• Ballinger and Ballinger DMD PLLC
• Christopher N Ballinger, DMD
• Nermin J. Ballinger, D.M.D.
• Oluwatoyin Fatai Bamgbola, MD
• Sunday Adebare Bamigboye
• Keasia Bandy
• Morgan Banker, MS, RD, LDN
• Destiny Banks

• Student in an Organized Health Care Education/Training Program in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Student in an Organized Health Care Education/Training Program in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.