Kimberly Ballard

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-134565 Issued in KS

Practice address

7725 W 87TH St
Overland Park, KS 66212-1905

Phone

(913) 341-9316

NPI assigned

Sep 9, 2020

Last updated

Sep 9, 2020By the provider in NPPES

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

Other names 1

• Kimberly Cates Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Living Opportunities, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Overland Park, KS
  • NPI 1154776219
  NPD (past)

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1427663244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 FOLSOM ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484164",
            "telephone_number": "719-304-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 W 87TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121905",
            "telephone_number": "913-341-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KS",
            "license": "RBT-20-134565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CATES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Kay Baldassaro, MD
• George Albert Baldwin, DDS
• Marci Denise Baldwin, PTA
• Dace Robert Ball, PT, DPT
• Yvonne Ball, MSPT
• Lisa Marie Ballard, PT
• Nathaniel Kyle Ballek, M.D.
• Aimee Ballew, PHARM.D.
• Morgan Ballista
• Kayla Ann Ballweg, APRN, NP-C

• Behavior Technician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Behavior Technician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.