Active NPI
Victoria Balza
- Community Health Worker
- Ann Arbor, MI
National Provider Identifier
1265249015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 3917 Research Park Dr # B-1a
Ann Arbor, MI 48108-2229 - Phone
- (734) 794-2930
- NPI assigned
- Dec 16, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MI | Primary |
Addresses
Primary practice location
3917 Research Park Dr # B-1a
Ann Arbor, MI 48108-2229
Mailing address
518 Linden St
Ann Arbor, MI 48104-2617
Phone (248) 929-1457
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | user1 | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1265249015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 LINDEN ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481042617",
"telephone_number": "248-929-1457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3917 RESEARCH PARK DR # B-1A",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481082229",
"telephone_number": "734-794-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALZA",
"first_name": "VICTORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "user1",
"affiliation": "N",
"endpointDescription": "Provider with access to endpoints",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3917 Research Park Dr # B-1A",
"city": "Ann Arbor",
"state": "MI",
"country_code": "US",
"postal_code": "481082229",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.