Sandra Joy Brice Ballew, R.N.

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

631060 Issued in NY

Practice address

1740 Athena Dr
Avon, NY 14414-9580

Phone

(585) 233-2638

NPI assigned

Jun 28, 2013

Last updated

Jun 28, 2013By 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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1386084770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 ATHENA DR",
            "city": "AVON",
            "state": "NY",
            "postal_code": "144149580",
            "telephone_number": "585-233-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 ATHENA DR",
            "city": "AVON",
            "state": "NY",
            "postal_code": "144149580",
            "telephone_number": "585-233-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICE BALLEW",
        "first_name": "SANDRA",
        "middle_name": "JOY",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "631060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avon Rotary-Lions Ambulance Service, Inc.
• Karai P Balaji, M.D.
• James Philip Bartholomew, RPH
• Sarah Rose Bennetti, RDN
• Brenna Brady
• Shantal R Briscoe, RN
• Steven Richard Bruno, DDS
• Christian Grant Burger
• Stephanie Lynn Burroughs, DDS
• Heather Carroll

• Pediatric Registered Nurse in Avon, NY
• Providers in Avon, NY by specialty
• Pediatric Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.