Joan E. Ball, RN, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

CNM-12A Issued in ID

Practice address

4700 N Cloverdale Rd
Ste 103
Boise, ID 83713-1067

Phone

(208) 376-2522

Fax

(208) 375-5860

NPI assigned

Dec 19, 2006

Last updated

Apr 25, 2016By 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

• Joan E. Blickenstaff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Registered Nurse

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.

• Ronald S Higginbotham, DO PA

  dba Boise Osteopathic Medical Clinic

  • Family Medicine Physician
  • Boise, ID
  • NPI 1306984943
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1497818413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 E TARPON DR",
            "address_2": "STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429007",
            "telephone_number": "208-376-2522",
            "fax_number": "208-375-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N CLOVERDALE RD",
            "address_2": "STE 103",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131067",
            "telephone_number": "208-376-2522",
            "fax_number": "208-375-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "JOAN",
        "middle_name": "E.",
        "credential": "RN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ID",
            "license": "CNM-12A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "BLICKENSTAFF",
            "middle_name": "E.",
            "credential": "RN, CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nathan Richard Baldwin
• Tobin Chambers Baldwin, LPC
• Lauren D. Bales, M.D.
• Andrew Ball, OD
• David Liam Ball, CYPSS, CPSS
• Mary Elizabeth Ball, LCSW, ACADC
• Nakale Ball
• Shane K Ball, M.D.
• David Alan Ballance, MD
• Emily A Ballantyne, LMSW

• Advanced Practice Midwife in Boise, ID
• Providers in Boise, ID by specialty
• Advanced Practice Midwife in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.