Active NPI
Annie Ballen
- Psychiatry Physician
- New Orleans, LA
National Provider Identifier
1790312460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 332664
- Practice address
- 1440 Canal St
New Orleans, LA 70112-2703 - Phone
- (504) 988-4272
- NPI assigned
- Mar 24, 2020
- Last updated
- Oct 14, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 332664 | LA | Primary |
Addresses
Primary practice location
1440 Canal St
New Orleans, LA 70112-2703
Mailing address
1440 Canal St
New Orleans, LA 70112-2703
Phone (504) 229-2452
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332664 | LA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1790312460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 CANAL ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122703",
"telephone_number": "504-229-2452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 CANAL ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122703",
"telephone_number": "504-988-4272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLEN",
"first_name": "ANNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-24",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "332664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.