Individual provider Active NPI

Sheila Rochelle Ballard, NURSING ASSISTANT

  • Home Health Registered Nurse
  • Flint, MI
National Provider Identifier
1356588685
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
CERTIFICATE Issued in MI
Practice address
3580 Rue Foret
88
Flint, MI 48532-2842
Phone
(810) 882-8232
NPI assigned
Jan 8, 2009
Last updated
Jan 15, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X CERTIFICATE MI Primary
Hospice Registered Nurse 163WH1000X CERTIFICATE MI

Addresses

Primary practice location

3580 Rue Foret
88
Flint, MI 48532-2842

Mailing address

3580 Rue Foret
88
Flint, MI 48532-2842
Phone (810) 882-8232

Other names 1

  • Ms. Sheila Rochelle Mixon Former name

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

State licenses

LicenseStateTypeSpecialty
CERTIFICATEMIMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1356588685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 RUE FORET",
            "address_2": "88",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322842",
            "telephone_number": "810-882-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 RUE FORET",
            "address_2": "88",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322842",
            "telephone_number": "810-882-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "SHEILA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Mrs.",
        "credential": "NURSING ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "CERTIFICATE",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "MI",
            "license": "CERTIFICATE",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "MIXON",
            "middle_name": "ROCHELLE",
            "prefix": "MS.",
            "credential": "NURSING ASSISTANT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.