Ethel J Ballenger, DIETITIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT06750 Issued in TX

Practice address

1201 W Frank Ave
Lufkin, TX 75904-3357

Phone

(936) 631-3474

Fax

(936) 631-3475

NPI assigned

May 30, 2006

Last updated

Jul 13, 2026By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Memorial Hospital of Polk County

  dba CHI St. Luke's Heath Memorial Livingston

  • Rural Acute Care Hospital
  • Livingston, TX
  • NPI 1689650616
  NPD (past)
• Memorial Hospital San Augustine

  • Specialist
  • San Augustine, TX
  • NPI 1326095696
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699722058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043357",
            "telephone_number": "936-631-3474",
            "fax_number": "936-631-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043357",
            "telephone_number": "936-631-3474",
            "fax_number": "936-631-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLENGER",
        "first_name": "ETHEL",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT06750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherry Dale Baker, MSN, RN, CA-SANE
• Matthew Ryan Baker, PHARMD
• Savitha Balakrishna, MD
• Ghazi NA Balis Sr., APRN
• Rebecca Ball
• Debra W Bankston, CCC/SLP
• Jocelyn Soria Banuelos, FNP-C
• Juanita Marie Barnes
• Brandi Barnett, LPC
• Ryan Barr

• Registered Dietitian in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.