Active NPI
Margaret F Balacki, MSN-CRNP/PMH
- Psychiatric/Mental Health Nurse Practitioner
- Lutherville, MD
National Provider Identifier
1730108119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R061828
- Practice address
- 1407 York Rd
Suite 309
Lutherville, MD 21093-6097 - Phone
- (410) 825-2281
- Fax
- (410) 825-0757
- NPI assigned
- Jul 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R061828 | MD | Primary |
| Clinical Nurse Specialist | 364S00000X | R061828 | MD |
Addresses
Primary practice location
1407 York Rd
Suite 309
Lutherville, MD 21093-6097
Mailing address
803 Latchmere CT
Unit 103
Annapolis, MD 21401-8268
Phone (410) 825-2281
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R061828 | Other | MD | LICENSE |
| N51941 | Other | MD | CDS |
Other names 1
- Mrs. Margaret Ruth Foote
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)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R061828 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1730108119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 LATCHMERE CT",
"address_2": "UNIT 103",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214018268",
"telephone_number": "410-825-2281",
"fax_number": "410-825-0757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 YORK RD",
"address_2": "SUITE 309",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936097",
"telephone_number": "410-825-2281",
"fax_number": "410-825-0757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALACKI",
"first_name": "MARGARET",
"middle_name": "F",
"name_prefix": "Prof.",
"credential": "MSN-CRNP/PMH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R061828",
"primary": true
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "MD",
"license": "R061828",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "R061828",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS",
"identifier": "N51941",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARGARET",
"last_name": "FOOTE",
"middle_name": "RUTH",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.