Jody Lynn Balcom-Hall, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

SD-LPN P006382 Issued in SD

Practice address

111 North St
Rapid City, SD 57701-1163

Phone

(605) 343-0650

Fax

(605) 342-3692

NPI assigned

Nov 25, 2013

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

Other names 1

• Jody Lynn Balcom Other name

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.

• Behavior Management Systems, Inc.

  • Community/Behavioral Health Agency
  • Rapid City, SD
  • NPI 1295878122
  NPD (past)

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1720418924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ELK ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017351",
            "telephone_number": "605-343-7262",
            "fax_number": "605-343-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NORTH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011163",
            "telephone_number": "605-343-0650",
            "fax_number": "605-342-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCOM-HALL",
        "first_name": "JODY",
        "middle_name": "LYNN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SD",
            "license": "SD-LPN P006382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "BALCOM",
            "middle_name": "LYNN",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephen P Bailey, M.D.
• Scarlett Marie Bainbridge, CSW, LMSW
• Rebecca Lynn Baird, DPT
• Balanced Body Massage
• Kimberly Sierra Balay, M.D.
• Bailee Baldwin
• Ballard Gynecology Prof LLC
• Patricia L Bambeck, CNP
• Angela Sue Banley, MA, LPC, QMHP
• Denise Marie Baragar, CNP

• Licensed Practical Nurse in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Licensed Practical Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.