Individual provider Active NPI

Annaliece Balensiefen, CNM, WHNP-BC, APRN

  • Advanced Practice Midwife
  • Longwood, FL
National Provider Identifier
1972416337
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
10795 Issued in FL
Practice address
182 Holderness Dr
Longwood, FL 32779-5725
Phone
(815) 878-9636
NPI assigned
Sep 25, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 104199230 FL
Advanced Practice Midwife 367A00000X 10795 FL Primary

Addresses

Primary practice location

182 Holderness Dr
Longwood, FL 32779-5725

Mailing address

182 Holderness Dr
Longwood, FL 32779-5725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1972416337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 HOLDERNESS DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327795725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 HOLDERNESS DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327795725",
            "telephone_number": "815-878-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALENSIEFEN",
        "first_name": "ANNALIECE",
        "credential": "CNM, WHNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "104199230",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "10795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.