Candace Balli, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

309094 Issued in TX

Practice address

10609 W Ih 10 Ste 105
San Antonio, TX 78230-1673

Phone

(210) 344-5437

Fax

(210) 340-1259

NPI assigned

Aug 6, 2018

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1639657158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10609 W IH 10 STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301673",
            "telephone_number": "210-344-5437",
            "fax_number": "210-340-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10609 W IH 10 STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301673",
            "telephone_number": "210-344-5437",
            "fax_number": "210-340-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLI",
        "first_name": "CANDACE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "309094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173913801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ledyenska Baez Ballesteros, PA
• Maria D Ballesteros, MD
• Meury Ballesteros
• Peggy Ballet
• Marcie Marjorie Balleza
• Matthew Eric Balli, LPC
• Renata Balli
• Rudolph Edward Balli, P.A.
• Jennifer Balliew
• Maxwell Ruff Balliew

• Licensed Vocational Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.