Deborah Lucille Ballard, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

102193 Issued in AK

Practice address

14225 Hancock Dr
Anchorage, AK 99515-3961

Phone

(907) 244-0725

Fax

(907) 345-7760

NPI assigned

Jul 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1902258593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14225 HANCOCK DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153961",
            "telephone_number": "907-244-0725",
            "fax_number": "907-345-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14225 HANCOCK DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153961",
            "telephone_number": "907-244-0725",
            "fax_number": "907-345-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "DEBORAH",
        "middle_name": "LUCILLE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AK",
            "license": "102193",
            "primary": true
        },
        {
            "code": "1744G0900X",
            "taxonomy_group": "",
            "desc": "Specialist, Graphics Designer",
            "state": "AK",
            "license": "102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharolyn Hoover Baldwin, MD
• James William Bales, M.D./PH.D.
• Josephine Seleriana Balgenorth
• Shane Ball, LPC
• Deiniol Avery Oaminal Ballais
• Joy Ballard, LCSW
• Maria Lynn Ballard
• Tessa Mae Ballard, PHARMD
• Rebekah Balmes, PHARMD
• Sharon Balogh-Campbell, EMT3

• Specialist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Specialist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.