Active NPI
Natalie Nicole Ball, QASP-S
- Behavior Analyst
- Jacksonville, NC
National Provider Identifier
1679157911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 13042
- Practice address
- 1368 Piney Green Rd
Jacksonville, NC 28546-4580 - Phone
- (910) 939-9986
- NPI assigned
- May 12, 2021
- Last updated
- Sep 23, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-167627 | IN | |
| Behavior Analyst | 103K00000X | 13042 | NC | Primary |
Addresses
Primary practice location
1368 Piney Green Rd
Jacksonville, NC 28546-4580
Mailing address
1368 Piney Green Rd
Jacksonville, NC 28546-4580
Other practice location 1
9769 Crosspoint Blvd
Indianapolis, IN 46256-3346
Phone (317) 588-2732
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13042 | NC | MD | Behavioral Analyst |
| RBT-21-167627 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopebridge, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1679157911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1368 PINEY GREEN RD",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285464580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1368 PINEY GREEN RD",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285464580",
"telephone_number": "910-939-9986"
}
],
"practiceLocations": [
{
"address_1": "9769 Crosspoint Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462563346",
"country_code": "US",
"telephone_number": "317-588-2732",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALL",
"first_name": "NATALIE",
"middle_name": "NICOLE",
"credential": "QASP-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-21-167627",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "13042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.