Ballard Pediatrics

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BALLARD PEDIATRICS

Practice address

2480H US 41 N Ste 80
Henderson, KY 42420-2359

Phone

(812) 228-6896

NPI assigned

Jul 21, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kasie Ballard, MS, OTR/LNPI 1619228772

Title

Owner/Occupational Therapist

Phone

(812) 228-6896

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kasie A Ballard, MS, OTR/L

  • Occupational Therapist
  • Evansville, IN
  • NPI 1619228772
  NPD Authorized official

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1821723917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 RODENBERG AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477206230",
            "telephone_number": "812-228-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480H US 41 N STE 80",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202359",
            "telephone_number": "812-228-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "KASIE",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "812-228-6896",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1619228772",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kballard@evolvepeds.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2480H US 41 N Ste 80",
            "city": "Henderson",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424202359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deana Baggett
• Samantha Bailey, TCM
• Jamie Rayann Baker, R.D., L.D.
• Leigh Baldwin, FNP, PMHNP
• Lauren Nichole Ball, COTA/L
• Ayres Baltzell, MSOTR/L
• Sridhar Banuru, MD
• Christine Barnes, PHARMD
• Fred L. Barnett, M.D.
• Timothy Martin Barron

• All providers in Henderson, KY
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.