Dina Marie Balzano, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP141593 Issued in TX

Practice address

10599 N Tatum Blvd Ste F151
Paradise Valley, AZ 85253-1053

Phone

(480) 991-9271

NPI assigned

Jun 30, 2020

Reactivated

Aug 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compassus Op of Arizona LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1013467364

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1861019390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10599 N TATUM BLVD STE F151",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531053",
            "telephone_number": "480-991-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10599 N TATUM BLVD STE F151",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531053",
            "telephone_number": "480-991-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALZANO",
        "first_name": "DINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "deactivation_date": "2022-08-02",
        "reactivation_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "243256",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "southwellness.co",
            "affiliation": "N",
            "address_1": "10599 N Tatum Blvd Ste F151",
            "city": "Paradise Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852531053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Az Center of Wellness, LLC
• Hasmik A Babayan, M.A.
• Tiffani Bachus
• Drue Bailey
• William Dan Baldwin
• George Eugene Bandy, M.D.
• Mitchell Barnhart, ATC
• Benjamin Levi Barrantes, DPT
• Lisa Marie Barry, OCCUPATIONAL THERAP
• Matthew Bayne, D.D.S.

• Family Nurse Practitioner in Paradise Valley, AZ
• Providers in Paradise Valley, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.