Active NPI
Debra Harrison Balzli, BSN, MSN, FNP-C
- Family Health Clinical Nurse Specialist
- Birmingham, AL
National Provider Identifier
1992992200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- F0807211
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1034450 | Other | AL | RN |
| F0807211 | Other | AL | AANP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| F0807211 | AL | MD | Family 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.