Individual provider Active NPI

Malinda Lil Balado, APRN BC

  • Family Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1275543589
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04896 Issued in LA
Practice address
2101 Robin Ave
Suite 1
Hammond, LA 70403-5772
Phone
(985) 542-7766
Fax
(985) 542-1754
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP04896 LA Primary

Addresses

Primary practice location

2101 Robin Ave
Suite 1
Hammond, LA 70403-5772

Mailing address

14292 Florida Boulevard
Stewart Family Medicine & After Hours Clinic
Livingston, LA 70754
Phone (225) 686-1114

Other identifiers 1

IdentifierTypeStateIssuer
1584541MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061013000491 LA Practitioner - Nurse Practitioner 4082610043 Reassigns benefits to 3 organizations
Practice locations: New Orleans, LA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14500 Hayne Blvd
Suite 200
New Orleans, LA 70128-1751
Phone (504) 210-0460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1275543589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14292 FLORIDA BOULEVARD",
            "address_2": "STEWART FAMILY MEDICINE & AFTER HOURS CLINIC",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "70754",
            "telephone_number": "225-686-1114",
            "fax_number": "225-686-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ROBIN AVE",
            "address_2": "SUITE 1",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035772",
            "telephone_number": "985-542-7766",
            "fax_number": "985-542-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALADO",
        "first_name": "MALINDA",
        "middle_name": "LIL",
        "name_prefix": "Mrs.",
        "credential": "APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1584541",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.