Active NPI
Hope Allyson Ballentine, RN, CNM
- Advanced Practice Midwife
- Rogers, AR
National Provider Identifier
1295989556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- M02110 CNM
- Practice address
- 1233 West Poplar Street
Rogers, AR 72756-4245 - Phone
- (479) 636-9235
- Fax
- (479) 631-0374
- NPI assigned
- Nov 12, 2008
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | M02110 CNM | AR | Primary |
Addresses
Primary practice location
1233 West Poplar Street
Rogers, AR 72756-4245
Mailing address
614 E Emma Ave
Suite 300
Springdale, AR 72764-4634
Phone (479) 751-7417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178530799 | Medicaid | AR |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M02110 CNM | AR | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1295989556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 E EMMA AVE",
"address_2": "SUITE 300",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727644634",
"telephone_number": "479-751-7417",
"fax_number": "479-751-4898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 WEST POPLAR STREET",
"city": "ROGERS",
"state": "AR",
"postal_code": "727564245",
"telephone_number": "479-636-9235",
"fax_number": "479-631-0374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLENTINE",
"first_name": "HOPE",
"middle_name": "ALLYSON",
"name_prefix": "Miss",
"credential": "RN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-12",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AR",
"license": "M02110 CNM",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178530799",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.