Active NPI
Deette Balfourd, CPCP
- Other Technician
- Missoula, MT
National Provider Identifier
1831495530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 10049
- Practice address
- 1821 South Ave W
404
Missoula, MT 59801-6517 - Phone
- (406) 370-3705
- NPI assigned
- Jan 28, 2011
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 10049 | MT | Primary |
Addresses
Primary practice location
1821 South Ave W
404
Missoula, MT 59801-6517
Mailing address
382 Stagecoach TRL
Florence, MT 59833-6981
Phone (406) 370-3705
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 |
|---|---|---|---|
| 10049 | MT | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296172800000",
"number": "1831495530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 STAGECOACH TRL",
"city": "FLORENCE",
"state": "MT",
"postal_code": "598336981",
"telephone_number": "406-370-3705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 SOUTH AVE W",
"address_2": "404",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016517",
"telephone_number": "406-370-3705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALFOURD",
"first_name": "DEETTE",
"name_prefix": "Mrs.",
"credential": "CPCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-28",
"last_updated": "2011-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MT",
"license": "10049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.