BALLARD FAMILY MEDICAL, INC (NPI# 1407121635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407121635 |
Entity Type | Organization |
Organization Name | BALLARD FAMILY MEDICAL, INC |
Other Organization Name | BALLARD FAMILY MEDICAL |
Practice Address |
100 3rd Ave Se Winchester TN 37398-1570 |
Mailing Address |
86 Bible Xing Decherd TN 37324-3886 |
Practice Telephone | 9313924749 |
Practice Fax Number | 9319670284 |
Mailing Telephone | 9313924749 |
Mailing Fax Number | 9315639146 |
Enumeration Date | 2012-03-21 |
Last Update Date | 2020-04-06 |
Authorized Official Name | MRS. BRANDY DENISE BALLARD (PROVIDER) |
Authorized Official Telephone | 9313924749 |
Authorized Official Credential | FNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN08389 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Ballard Family Medical | Doing Business As Name - Organization |
Street Address |
100 3RD AVE SE |
City | WINCHESTER |
State | TN |
Zip Code | 37398-1570 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174621478 | Brandy Denise Ballard | Nurse Practitioner | 100 3rd Ave Se, Winchester, TN 37398-1570 | 2006-09-20 |
1750894556 | Candice Marie Kinney | Nurse Practitioner | 100 3rd Ave Se, Winchester, TN 37398-1570 | 2017-11-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235738170 | Results-ast Jv, LLC | Physical Therapist | 2030 Cowan Highway, Suite 1, Winchester, TN 37398 | 2020-10-21 |
1902239759 | Ann C Richardson | Pharmacist | 1201 Dinah Shore Blvd, Winchester, TN 37398 | 2013-08-15 |
1851734230 | Gina Renee Jacobs | Ambulance | 305 N College St., Winchester, TN 37398 | 2013-04-16 |
1083895205 | Jill Kay Stokes | Occupational Therapy Assistant | 463 Dripping Springs Road, Winchester, TN 37398 | 2007-11-15 |
1962581702 | Carol H Wallace | Pharmacy | 1201 Dinah Shore Boulevard, Winchester, TN 37398 | 2006-11-03 |
1457459562 | Karen A Tidmore | Family Medicine | 1811 Sharp Springs Rd, Winchester, TN 37398 | 2006-09-20 |
1356385967 | Sherry Lee | Nurse Practitioner | 1211 Dinah Shore Blvd, Winchester, TN 37398 | 2006-06-15 |
1912985425 | Caresouth Hha Holdings of Winchester LLC | Durable Medical Equipment & Medical Supplies | 2068 Cowan Hwy, Winchester, TN 37398 | 2006-01-04 |
1215372768 | Clive Anderson Wasson | Surgery | 83 Memorial Dr, Winchester, TN 37398 | 2013-05-09 |
1326322967 | John Anthony O'driscoll Jr. | Physical Therapist | 2030 Cowan Hwy Ste 1, Winchester, TN 37398 | 2011-09-30 |
Find all providers in zip 37398 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730794090 | Sarah-jane Gruber | Nurse Practitioner | 905 Cedar Creek Grade Ste 102, Winchester, VA 22601-7100 | 2020-09-14 |
1902417835 | Tara Beth Cruse | Nurse Practitioner | 5100 Combs Ferry Rd, Winchester, KY 40391-8082 | 2020-08-13 |
1639702616 | Anna Stewart | Nurse Practitioner | 219 Stine Ln, Winchester, VA 22603-5413 | 2020-02-18 |
1154953065 | Julie Varney | Nurse Practitioner | 119 Union View Ln, Winchester, VA 22603-3342 | 2020-02-08 |
1295379410 | April Dunaway | Nurse Practitioner | 403 Harney Dr, Winchester, KY 40391-9740 | 2019-10-30 |
1689225534 | Tracey Lynn Graham | Nurse Practitioner | 202 Heath Ct, Winchester, VA 22602 | 2019-09-23 |
1205484722 | Rachel Wynne Ziemke | Nurse Practitioner | 160 Merchant St, Winchester, VA 22603-4772 | 2019-08-28 |
1174177224 | Anna Morrison | Nurse Practitioner | 480 Bullion Blvd, Winchester, KY 40391-2933 | 2019-07-27 |
1285292581 | Heather Ann Hyden | Nurse Practitioner | 183 Hospital Rd Ste A, Winchester, TN 37398-2471 | 2019-05-31 |
1679035851 | Michelle Katherine Bull | Nurse Practitioner | 908 S Jefferson St, Winchester, TN 37398-2132 | 2019-04-04 |
Find all providers in WINCHESTER |
City | WINCHESTER |
Zip Code | 37398 |
Please comment or provide details below to improve the information on BALLARD FAMILY MEDICAL, INC.
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.