Monique Balthazar, DNP, PHD, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12257 Issued in OH

Practice address

2916 Central Ave
Cleveland, OH 44115-3229

Phone

(216) 535-9100

NPI assigned

Jul 3, 2013

Last updated

Aug 23, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1699115790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 CENTRAL AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153229",
            "telephone_number": "216-535-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 CENTRAL AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153229",
            "telephone_number": "216-535-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTHAZAR",
        "first_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "DNP, PHD, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "12257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orkun Baloglu, M.D.
• Sheena Kristen Balolong Publico, PH.D.
• Alison A Bals
• Madeline Marie Bals, MS, RD, LD
• Matthew D Baltes, D.O.
• Ana Rebecca Baltierra, MD
• Jorge Ignacio Balzan Perez, MD
• Martha Balzano, CT
• Sarah Balzer, LSW
• Evangeline Bambakidis

• Family Nurse Practitioner in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.