ALISON BALLANTYNE (NPI# 1336693951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336693951 |
| Entity Type | Individual |
| Full Name | ALISON BALLANTYNE |
| Credential | PMHNP-BC |
| Practice Address |
85 Patton Rd Devens MA 01434-4401 |
| Practice Telephone | 9786155200 |
| Practice Fax Number | 9787725253 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2020-01-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F402148-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2302916 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
85 PATTON RD |
| City | DEVENS |
| State | MA |
| Zip Code | 01434-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962451716 | Craig M Coldwell | Psychiatry & Neurology | 85 Patton Rd, Devens, MA 01434-4401 | 2006-05-09 |
| 1649888702 | Yangchen Tenzin Gethoktsang | Nurse Practitioner | 85 Patton Rd, Devens, MA 01434-4401 | 2020-07-15 |
| 1689208050 | Jean-merimee Kouagheu | Registered Nurse | 85 Patton Rd, Devens, MA 01434-4401 | 2020-02-25 |
| 1518514884 | Kerrie Moran | Nurse Practitioner | 85 Patton Rd, Devens, MA 01434 | 2019-08-21 |
| 1710547385 | Amanda Irene Gustafson | Physician Assistant | 85 Patton Rd, Devens, MA 01434-4401 | 2019-06-17 |
| 1063984540 | Christine Elizabeth Manseau | Physician Assistant | 85 Patton Rd, Devens, MA 01434-4401 | 2018-12-21 |
| 1184195521 | Kendra Beth Allan | Physician Assistant | 85 Patton Rd, Devens, MA 01434-4401 | 2018-12-11 |
| 1922589134 | Jean Marie Barrile | Social Worker | 85 Patton Rd, Devens, MA 01434-4401 | 2018-08-25 |
| 1811473267 | Devens Treatment & Recovery Center, LLC | Nurse Practitioner | 85 Patton Rd, Devens, MA 01434-4401 | 2018-07-18 |
| 1063876241 | Devens Treatment & Recovery Center, LLC | Psychiatric Hospital | 85 Patton Rd, Devens, MA 01434-4401 | 2016-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598063794 | Erik Pfundstein | Physical Therapist | 399th Combat Support Hospital, Apo, AA 01434 | 2011-03-11 |
| 1245729060 | Ericka Rice-aquino | Psychologist | 42 Patton Rd, Devens, MA 01434-3801 | 2018-05-07 |
| 1700829058 | Diane Kilduff | Internal Medicine | 42 Patton Rd, Ayer, MA 01434-3801 | 2006-06-14 |
| 1861056418 | Dean J. Overmiller | Emergency Medical Technician, Basic | 42 Patton Rd, Ayer, MA 01434-3802 | 2019-04-30 |
| 1982185096 | Robyn Coons | Social Worker | 42 Patton Rd, Ayer, MA 01434-3802 | 2018-08-27 |
| 1043703598 | Paul Anderson | Psychologist | 42 Patton Rd, Devens, MA 01434-3802 | 2018-06-10 |
| 1649769613 | Janet Howson | Psychologist | 42 Patton Rd, Ayer, MA 01434-3802 | 2018-05-05 |
| 1407356421 | Christina L Cozza | Social Worker | 42 Patton Rd, Ayer, MA 01434-3802 | 2018-02-16 |
| 1578085114 | Chelsea Coffey | Physician Assistant | 42 Patton Rd, Devens, MA 01434-3802 | 2017-07-15 |
| 1497175970 | Michaela Alexis Montecalvo | Physician Assistant | 42 Patton Rd, Ayer, MA 01434-3802 | 2014-04-23 |
| Find all providers in zip 01434 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649888702 | Yangchen Tenzin Gethoktsang | Nurse Practitioner | 85 Patton Rd, Devens, MA 01434-4401 | 2020-07-15 |
| 1518514884 | Kerrie Moran | Nurse Practitioner | 85 Patton Rd, Devens, MA 01434 | 2019-08-21 |
| 1811473267 | Devens Treatment & Recovery Center, LLC | Nurse Practitioner | 85 Patton Rd, Devens, MA 01434-4401 | 2018-07-18 |
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|---|---|---|---|---|
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| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.