Active NPI
Emily Ballien
- Peer Specialist
- Saginaw, MI
National Provider Identifier
1568016830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 3400 S Washington Rd
Saginaw, MI 48601-4958 - Phone
- (989) 755-1072
- NPI assigned
- Jul 25, 2019
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
3400 S Washington Rd
Saginaw, MI 48601-4958
Mailing address
8759 Clinton Macon Rd
Clinton, MI 49236-9572
Phone (989) 755-1072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CCAR | Other | CCAR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.holycrossservices.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1568016830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8759 CLINTON MACON RD",
"city": "CLINTON",
"state": "MI",
"postal_code": "492369572",
"telephone_number": "989-755-1072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 S WASHINGTON RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486014958",
"telephone_number": "989-755-1072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLIEN",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-25",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCAR",
"identifier": "CCAR",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.holycrossservices.org",
"affiliation": "N",
"address_1": "3400 S Washington Rd",
"city": "Saginaw",
"state": "MI",
"country_code": "US",
"postal_code": "486014958",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.