Individual provider Active NPI

Andrea Ballard, NP

  • Family Nurse Practitioner
  • Portsmouth, NH
National Provider Identifier
1831557669
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
037046-23 Issued in NH
Practice address
1 Ayer Cir BLDG H1
Portsmouth, NH 03804-4402
Phone
(207) 438-5981
Fax
(207) 438-1527
NPI assigned
Feb 8, 2016
Last updated
Nov 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 206875 MA
Family Nurse Practitioner 363LF0000X 037046-23 NH Primary

Addresses

Primary practice location

1 Ayer Cir BLDG H1
Portsmouth, NH 03804-4402

Mailing address

1 Ayer Cir BLDG H1
Portsmouth, NH 03804-4402
Phone (207) 438-5981

Other practice location 1

1111 20th St NW
Washington, DC 20526-0001
Phone (202) 692-1555

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
206875MAMDFamily Nurse Practitioner
037046-23NHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1831557669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AYER CIR BLDG H1",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038044402",
            "telephone_number": "207-438-5981",
            "fax_number": "207-438-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AYER CIR BLDG H1",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038044402",
            "telephone_number": "207-438-5981",
            "fax_number": "207-438-1527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 20th St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "205260001",
            "country_code": "US",
            "telephone_number": "202-692-1555",
            "fax_number": "202-692-1501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "ANDREA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "206875",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "037046-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.