Active NPI
Stephanie Ball, M.D.
- Internal Medicine Physician
- Reno, NV
National Provider Identifier
1821145970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G85528
- Practice address
- 455 W 5TH St
Reno, NV 89503-4413 - Phone
- (775) 688-5555
- Fax
- (775) 688-5555
- NPI assigned
- Jan 4, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G85528 | CA | Primary |
Addresses
Primary practice location
455 W 5TH St
Reno, NV 89503-4413
Mailing address
1691 The Alameda
San Jose, CA 95126-2203
Other practice location 1
7011 East Ave Mail Stop 9112
Livermore, CA 94550
Phone (925) 294-2700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V60342 | Other | NV | MEDICARE PTAN |
| G85528 | Other | CA | CA STATE LISCENCE |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6164 | NV | MD | General Practice Dentistry |
| G85528 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1821145970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1691 THE ALAMEDA",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 W 5TH ST",
"city": "RENO",
"state": "NV",
"postal_code": "895034413",
"telephone_number": "775-688-5555",
"fax_number": "775-688-5555"
}
],
"practiceLocations": [
{
"address_1": "7011 East Ave Mail Stop 9112",
"address_purpose": "LOCATION",
"city": "Livermore",
"state": "CA",
"postal_code": "94550",
"country_code": "US",
"telephone_number": "925-294-2700",
"fax_number": "925-294-2392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALL",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G85528",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "V60342",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA STATE LISCENCE",
"identifier": "G85528",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.