Tia Maumi Ballard, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA60243032 Issued in WA

Practice address

200 SW 41St St Ste 100
Renton, WA 98057-4917

Phone

(425) 251-5715

Fax

(425) 251-0703

NPI assigned

Nov 23, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baze Chiropractic, PLLC

  • Chiropractor
  • Renton, WA
  • NPI 1477927291
  NPD (past)

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1699042358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SW 41ST ST STE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SW 41ST ST STE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574917",
            "telephone_number": "425-251-5715",
            "fax_number": "425-251-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "TIA",
        "middle_name": "MAUMI",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60243032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaowanit Balangue, DI
• Kristina Elizabeth Balcom, LMP
• Lynne Suzanne Balderson, LMP
• Svyatoslav Balenko
• Nicole J Ball, LMP
• Nazir Ahmed Balouch, MD
• Peter A Balousek, MD
• Miguel Angel Banos
• Shahina Banthanavasi, MD
• Mercedes Gonzalez Barajas

• Specialist in Renton, WA
• Providers in Renton, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.