Glyza Mae Borlasa Balam

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

2020032539 Issued in MO

Practice address

104 S Downey Ave
Independence, MO 64056-1729

Phone

(816) 642-7738

NPI assigned

Feb 15, 2025

Sex

Female

Sole proprietor

No

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": "1739577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1376348235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S DOWNEY AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640561729",
            "telephone_number": "816-642-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S DOWNEY AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640561729",
            "telephone_number": "816-642-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAM",
        "first_name": "GLYZA MAE",
        "middle_name": "BORLASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-15",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MO",
            "license": "2020032539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anyssa Baisden
• Alison Baker
• Anne Baker, MS
• Bryan Craig Baker, D.C.
• Kristie A Baker, M.D.
• Balanced Body Chiropractic Center PC
• Erin Bales
• Satiaya Annessiea Ball, RBT
• Gregory Paul Ballard, M.D.
• Krysten Michelle Ballard

• Medical-Surgical Registered Nurse in Independence, MO
• Providers in Independence, MO by specialty
• Medical-Surgical Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; 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.