Individual provider Active NPI

Debra Harrison Balzli, BSN, MSN, FNP-C

  • Family Health Clinical Nurse Specialist
  • Birmingham, AL
National Provider Identifier
1992992200
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
F0807211 Issued in AL
Practice address
3725 Mountain View LN
Birmingham, AL 35223-2226
Phone
(205) 967-4152
NPI assigned
Oct 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X F0807211 AL Primary

Addresses

Primary practice location

3725 Mountain View LN
Birmingham, AL 35223-2226

Mailing address

3725 Mountain View LN
Birmingham, AL 35223-2226
Phone (205) 967-4152

Other identifiers 2

IdentifierTypeStateIssuer
1034450OtherALRN
F0807211OtherALAANP

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)
Enrolled
Credentials
Bachelor on Science - Nursing, Certified Registered Nurse, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
F0807211ALMDFamily Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1992992200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 MOUNTAIN VIEW LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232226",
            "telephone_number": "205-967-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 MOUNTAIN VIEW LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232226",
            "telephone_number": "205-967-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALZLI",
        "first_name": "DEBRA",
        "middle_name": "HARRISON",
        "name_prefix": "Mrs.",
        "credential": "BSN, MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "AL",
            "license": "F0807211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "1034450",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F0807211",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.