Individual provider Active NPI

Barbara Stryker Balliet, RN

  • School Registered Nurse
  • North Charleston, SC
National Provider Identifier
1417392341
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
78925 Issued in SC
Practice address
7763 Northside Dr
North Charleston, SC 29420-8944
Phone
(843) 764-2212
Fax
(843) 569-5466
NPI assigned
May 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 78925 SC Primary

Addresses

Primary practice location

7763 Northside Dr
North Charleston, SC 29420-8944

Mailing address

7763 Northside Dr
North Charleston, SC 29420-8944
Phone (843) 764-2212

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
78925SCMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1417392341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7763 NORTHSIDE DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294208944",
            "telephone_number": "843-764-2212",
            "fax_number": "843-569-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7763 NORTHSIDE DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294208944",
            "telephone_number": "843-764-2212",
            "fax_number": "843-569-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLIET",
        "first_name": "BARBARA",
        "middle_name": "STRYKER",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "78925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.