Active NPI
Ivette Ballara, R.N.
- Plastic Surgery Registered Nurse
- Alpharetta, GA
National Provider Identifier
1497373161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Registered Nurse
- License
- RN183718
- Practice address
- 3400 Old Milton Pkwy Ste 330
Alpharetta, GA 30005-3707 - Phone
- (770) 667-3090
- Fax
- (678) 867-0929
- NPI assigned
- Jul 9, 2020
- 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 |
|---|---|---|---|---|
| Plastic Surgery Registered Nurse | 163WS0121X | RN183718 | GA | Primary |
Addresses
Primary practice location
3400 Old Milton Pkwy Ste 330
Alpharetta, GA 30005-3707
Mailing address
140 Beechwood TRL
Roswell, GA 30075-2309
Phone (404) 272-2224
Other practice location 1
5673 Peachtree Dunwoody Rd Ste 100
Atlanta, GA 30342-1774
Phone (404) 257-9888
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN183718 | GA | MD | Plastic Surgery Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plastic Surgery Centre of Atlanta, P.C. | Past | Accepting new patients | |
| Mark E. Crispin, M.D., P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Plastic Surgery Physician
- Atlanta, GA
- NPI 1689859274
-
- Plastic Surgery Physician
- Atlanta, GA
- NPI 1275718868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1497373161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 BEECHWOOD TRL",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752309",
"telephone_number": "404-272-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 OLD MILTON PKWY STE 330",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300053707",
"telephone_number": "770-667-3090",
"fax_number": "678-867-0929"
}
],
"practiceLocations": [
{
"address_1": "5673 Peachtree Dunwoody Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303421774",
"country_code": "US",
"telephone_number": "404-257-9888",
"fax_number": "404-257-1568",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALLARA",
"first_name": "IVETTE",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-09",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0121X",
"taxonomy_group": "",
"desc": "Registered Nurse, Plastic Surgery",
"state": "GA",
"license": "RN183718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.