Jordann Makail Balaich, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

2458036 Issued in MN

Practice address

3065 Lady Nicole LN
Duluth, MN 55803-5202

Phone

(218) 428-4552

NPI assigned

Jun 29, 2021

Last updated

Jun 29, 2021By 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)

Not enrolled

Credentials

Registered Nurse

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.

• Open Arms Senior Living

  • Assisted Living Facility (Behavioral Disturbances)
  • Rice Lake, MN
  • NPI 1407621345
  NPD Authorized official

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1780254037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 LADY NICOLE LN",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558035202",
            "telephone_number": "218-428-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 LADY NICOLE LN",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558035202",
            "telephone_number": "218-428-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAICH",
        "first_name": "JORDANN",
        "middle_name": "MAKAIL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "2458036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Charles Bakka, PH.D.
• Deanna Rae Bakken
• Johan Christian Bakken, MD
• Johan Septimus Bakken, MD
• George Michael Balach I, D.D.S.
• David T Baldes, MD
• Megan Browning Baldes, M.D.
• Gail Elaine Baldwin, MD
• Kelsey Ballard
• Kristeljei Bautista Baltazar, APRN, CNP

• Home Health Registered Nurse in Duluth, MN
• Providers in Duluth, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.