Andrea Carol-Krug Balister, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

31018-031 Issued in WI

Practice address

14640 Woodland PL
Brookfield, WI 53005-1112

Phone

(262) 790-0933

NPI assigned

May 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356562078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16660 DANE CT W",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530051366",
            "telephone_number": "262-781-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14640 WOODLAND PL",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530051112",
            "telephone_number": "262-790-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALISTER",
        "first_name": "ANDREA",
        "middle_name": "CAROL-KRUG",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "31018-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boubacar Bah
• Debra J Bahr, MA CCC SLP
• Timothy Bain
• Emily Baker, DDS
• Alexandrea Bakke, COTA/L
• Janine M Bamberger, RD
• Char Banks
• Robert Bannasch
• Lisa Ann Baratta, MD
• Adam Barboff, LPC,SAC,NCC,CIR

• Licensed Practical Nurse in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.