Karen Kay Ballard, NP

Primary specialty

Occupational Health Nurse PractitionerTaxonomy code 363LX0106X

License

AP4594 Issued in AZ

Practice address

1710 W. Southern Ave
Concentra - Mesa
Mesa, AZ 85034

Phone

(219) 392-7424

NPI assigned

Feb 11, 2007

Last updated

Oct 24, 2014By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1538200530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W. SOUTHERN AVE",
            "address_2": "CONCENTRA - MESA",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85034",
            "telephone_number": "480-644-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W. SOUTHERN AVE",
            "address_2": "CONCENTRA - MESA",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85034",
            "telephone_number": "219-392-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "KAREN",
        "middle_name": "KAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71001475A",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "AZ",
            "license": "AP4594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Baldwin, SLP
• Nicholas King Baldwin, D.O.
• Lynnette Fae Balentine, NMD
• Aisha Bales, CRNA
• Daniel Ballard, PA
• Kaylen Manning Ballenger, FNP-C
• Kyla Ballesteros, PA-C
• Shelley Poyner Baltodano, AU.D.
• Jeffrey Richard Banas, DC
• Vinay Bandla, M.D

• Occupational Health Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Occupational Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.