Active NPI
Alexandria Adams Ballew, APRN
- Nurse Practitioner
- Pace, FL
National Provider Identifier
1689313355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11019643
- Practice address
- 3637 Highway 90
Pace, FL 32571-1075 - Phone
- (850) 966-9099
- NPI assigned
- Jun 1, 2022
- Last updated
- Jun 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11019643 | FL | Primary |
Addresses
Primary practice location
3637 Highway 90
Pace, FL 32571-1075
Mailing address
11140 Booner Cir
Pensacola, FL 32526-4469
Phone (251) 363-5635
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 |
|---|---|---|---|
| APRN11019643 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1689313355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11140 BOONER CIR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325264469",
"telephone_number": "251-363-5635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3637 HIGHWAY 90",
"city": "PACE",
"state": "FL",
"postal_code": "325711075",
"telephone_number": "850-966-9099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLEW",
"first_name": "ALEXANDRIA",
"middle_name": "ADAMS",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-01",
"last_updated": "2022-06-01",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11019643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pace, FL
- Audiology Services Company USA, LLC
- Auditory Solutions, LLC
- Aurora Medical Imaging (Aurora Open MRI)
- Austin Lee Williams Medical Billing (lees billing and coding)
- Jaimie Donelle Baecker, LMHC
- Baptist Pace Practice
- Baptist Physician Partners LLC
- Jerry A Barbee Jr, PHARM. D.
- Heidi Kathleen Barker, D.O.
- Beverly Barragan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.