CARL ANDREW BALLARD (NPI# 1386243574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386243574 |
| Entity Type | Individual |
| Full Name | CARL ANDREW BALLARD |
| Credential | FNP-C |
| Practice Address |
2635 Johnson Bottom Rd Detroit AL 35552-2731 |
| Practice Telephone | 2054950545 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
904235 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2635 JOHNSON BOTTOM RD |
| City | DETROIT |
| State | AL |
| Zip Code | 35552-2731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699859967 | Nwmc-winfield Physician Practices, LLC | Family Medicine | 65434 Highway 17, Detroit, AL 35552 | 2006-10-24 |
| 1861443087 | Terena S Stidham | Nurse Practitioner | 65345 Hwy 17, Detroit, AL 35552 | 2006-05-12 |
| 1457802597 | Nikki Malensky | Nutritionist | 1035 Sipsey Fork Rd, Detroit, AL 35552-2024 | 2016-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417783 | Tawana Danielle Williams | Registered Nurse | 866 Blaine St, Detroit, MI 48202-1938 | 2020-11-08 |
| 1972104867 | Domestic Life Services LLC | Home Health | 11662 Heyden St, Detroit, MI 48228-1047 | 2020-11-05 |
| 1639770696 | Bianca Lewis | Nurse's Aide | 18126 Brinker St, Detroit, MI 48234-1500 | 2020-11-05 |
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1407457799 | Next Level Counseling and Consulting, LLC | Counselor | 5231 Grayton St, Detroit, MI 48224-2149 | 2020-11-04 |
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1932700242 | Best Choice Health Services, LLC | Case Manager/Care Coordinator | 19300 Greenfield Rd Ste C, Detroit, MI 48235-2003 | 2020-11-03 |
| 1174124713 | Noble Home Health Care LLC | Home Health | 451 Hague St, Detroit, MI 48202-2122 | 2020-11-02 |
| 1265033831 | Shelly Cromerkennedy | Registered Nurse | 14583 Archdale St, Detroit, MI 48227-1441 | 2020-11-02 |
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| Find all providers in DETROIT | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776164 | Jennifer N Fucile | Nurse Practitioner | 3800 Woodward Ave Apt 702, Detroit, MI 48201-1980 | 2020-10-07 |
| 1649880329 | Dedra Delane Ford | Nurse Practitioner | 18255 Birchcrest Dr, Detroit, MI 48221-2750 | 2020-08-06 |
| 1528695624 | Venvisor Health Michigan LLC | Nurse Practitioner | 400 Renaissance Ctr Ste 200, Detroit, MI 48243-1502 | 2020-03-26 |
| 1558909978 | Ruxandra Maria Lazar | Nurse Practitioner | 5285 Anthony Wayne Dr, Detroit, MI 48202-3947 | 2019-12-16 |
| 1376186460 | Fazila Mahmood Siddiqui | Nurse Practitioner | 22201 Moross Rd Bldg Suite380, Detroit, MI 48236-2169 | 2019-10-22 |
| 1205482692 | Ladawn Denise Kennedy | Nurse Practitioner | 16645 Ilene St, Detroit, MI 48221-3401 | 2019-08-13 |
| 1427600246 | Christina Neirinck | Nurse Practitioner | 2401 St Antoine St, Detroit, MI 48201 | 2019-07-11 |
| 1548821556 | Ty R Houston | Nurse Practitioner | 13100 Corbett St, Detroit, MI 48213-2081 | 2019-06-21 |
| 1235795451 | Nekisha Bailey | Nurse Practitioner | 7501 Parkland, Detroit, MI 48239-1079 | 2019-05-13 |
| 1447713177 | Pauline Robinson | Nurse Practitioner | 4300 Balfour Rd, Detroit, MI 48224-3442 | 2019-04-10 |
| Find all providers in DETROIT | ||||
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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.