Active NPI
Donna Harvel Balo, ARNP, CNM, MS
- Advanced Practice Midwife
- Lake Mary, FL
National Provider Identifier
1396748398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- ARNP3072122
- Practice address
- 785 Primera Blvd
#1031
Lake Mary, FL 32746-2124 - Phone
- (407) 834-8111
- NPI assigned
- May 23, 2005
- 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 | ARNP3072122 | FL | Primary |
Addresses
Primary practice location
785 Primera Blvd
#1031
Lake Mary, FL 32746-2124
Mailing address
PO Box 953997
Lake Mary, FL 32795-3997
Phone (407) 834-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304385100 | Medicaid | FL |
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, Master of Science, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womencare PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Orlando, FL
- NPI 1366529042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1396748398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 953997",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327953997",
"telephone_number": "407-834-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 PRIMERA BLVD",
"address_2": "#1031",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462124",
"telephone_number": "407-834-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALO",
"first_name": "DONNA",
"middle_name": "HARVEL",
"name_prefix": "Ms.",
"credential": "ARNP, CNM, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "ARNP3072122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304385100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.