Dawn Balcom

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

30009692 Issued in KY

Practice address

401 E Chestnut St Unit 310
Louisville, KY 40202-5703

Phone

(502) 588-4600

NPI assigned

Sep 24, 2015

Last updated

Sep 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dawnbalcom@uoflouisph.allscriptsdirect.net
• Direct secure messaging: dbalcom17001@uoflhealth-dm.org

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.

• University of Louisville Research Foundation Inc

  dba Campus Health Services

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1477580942

  Family

  Medicare reassignment NPD
• University of Louisville Physicians, Inc.

  dba ULP Family Medicine

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1386910917
  NPD
• University of Louisville Research Foundation, Inc.

  dba ULRF WINGS Clinic

  • Infectious Disease Physician
  • Louisville, KY
  • NPI 1386835007
  NPD
• University of Louisville Physicians, Inc.

  dba ULP Urology

  • Urology Physician
  • Louisville, KY
  • NPI 1619242757
  NPD (past)

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1811366404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 SHELBURN DR",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148945",
            "telephone_number": "502-744-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST UNIT 310",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025703",
            "telephone_number": "502-588-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCOM",
        "first_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "30009692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Brian Balash, DDS
• Shiva Balasubramanian, MD
• Joselito T Balatbat, MD
• Josue Raul Balbuena
• Stephanie McIntyre Balch, MED, BCBA, LBA
• Kenneth Lorne Balcombe, M.D.
• Jacob Baldauf
• Takeysha Baldon
• Casey Eugene Baldwin, CRNA
• Charla Baldwin

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.