Catherine Louise Balka, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Salt Lake City, UT
NPI 1477597060 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1477597060
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 188294-4405 (UT)
- Practice address
- 1543 Winward Dr
Salt Lake City, UT 84117-7535 - Phone
- (801) 582-1565
- Fax
- (801) 584-2544
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 188294-4405 | UT | MD | Psychiatric/Mental Health Nurse Practitioner |
| 188294-8900 | UT | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 188294-4405 | UT | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 188294-8900 | UT |
Addresses
Primary practice location
1543 Winward Dr
Salt Lake City, UT 84117-7535
Mailing address
1543 Winward Dr
Salt Lake City, UT 84117-7535
Phone (801) 582-1565
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188294-4405 | Other | UT | APRN LICENSE |
| 188294-8900 | Other | UT | APRN CONTROLLED SUBSTANCE |
Other names
- Mrs. Cathy Selack Balka
Other providers in Salt Lake City, UT
- Vicki Lynne Baldwin
- James Franklin Bale Jr.
- Margaret J. Bale
- Bohn Ray Bales
- Hannah Marie Balfour
- Angie Balken
- Brenna Colleen Ball
- Douglas James Ball
- Kelsey Ball
- Samuel Ball
All providers in Salt Lake City, UT · Psychiatric/Mental Health Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.