Elizabeth Erin Balog

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

17330 135TH Ave NE Ste 2B
Woodinville, WA 98072-8522

Phone

(425) 998-9769

Fax

(844) 837-1339

NPI assigned

Oct 24, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Betsy Balog Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

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  • NPI 1164962072
  NPD

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1891663555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17330 135TH AVE NE STE 2B",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728522",
            "telephone_number": "425-998-9769",
            "fax_number": "844-837-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 135TH AVE NE STE 2B",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728522",
            "telephone_number": "425-998-9769",
            "fax_number": "844-837-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOG",
        "first_name": "ELIZABETH",
        "middle_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "BALOG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Theodore Bagby, R.PH.
• Shikha Bahl, PT
• Jacquelyn Baik
• Emlyn Halberg Baker, ARNP
• Balance Acupuncture
• Anita Bao, O.D.
• Orit Bar Yohay
• Carmella Barger, PT
• Kimberley A Barker, L.M.P.
• David M Baus, PT

• Student in an Organized Health Care Education/Training Program in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.