SIDNEY BALLARD (NPI# 1437698321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437698321 |
| Entity Type | Individual |
| Full Name | SIDNEY BALLARD |
| Credential | FNP |
| Practice Address |
1761 Park Ave Sw Norton VA 24273 |
| Mailing Address |
1761 Park Ave Sw Norton VA 24273-1608 |
| Practice Telephone | 2763250417 |
| Mailing Telephone | 2763250417 |
| Mailing Fax Number | 2763250394 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024174530 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
22225 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
22225 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1437698321 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16000 Johnston Memorial Dr, Fourth Floor, Abingdon, VA 242117664 | 2762584050 | 2762584056 |
| Street Address |
1761 PARK AVE SW |
| City | NORTON |
| State | VA |
| Zip Code | 24273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134134539 | Arunachalam M Vedhanayakam | Pediatrics | 1761 Park Ave Sw, Norton, VA 24273-1626 | 2006-07-31 |
| 1134648918 | Heather R Sergent | Registered Nurse | 1761 Park Ave Sw, Norton, VA 24273-1608 | 2017-09-13 |
| 1629473319 | Amelia Smith | Physician Assistant | 1761 Park Ave Sw, Norton, VA 24273 | 2014-10-24 |
| 1336432962 | Infinity Medical Management, LLC | Internal Medicine | 1761 Park Ave Sw, Norton, VA 24273-1608 | 2011-05-16 |
| 1003059247 | Peachtree Inpatient Consulting LLC | Hospitalist | 1761 Park Ave Sw, Norton, VA 24273 | 2009-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978751 | Donald Arthur Olson | Family Medicine | 1900 Holten Ave E, Big Stone Gap, VA 24273 | 2020-07-02 |
| 1528696440 | Kristi Matthews | Occupational Therapist | 22 10th St Nw, Norton, VA 24273 | 2020-03-27 |
| 1851929772 | Julie Ann Hoffer Mullins | Physical Therapist | 22 10th Street N.w., Norton, VA 24273 | 2020-03-27 |
| 1053839977 | Vijay Kumar PC | Family Medicine | 610 Park Avenue Nw, Norton, VA 24273 | 2017-08-30 |
| 1407376312 | Jacob A Nysather | Internal Medicine | 100 15th Street, N.w., Norton, VA 24273 | 2017-06-21 |
| 1154854248 | Family Preservation Services, Inc | Community/Behavioral Health | 5338 Esserville Road, Norton, VA 24273 | 2017-04-06 |
| 1245771757 | Blue Ridge Medical Management Corporation | Internal Medicine | 1410 Park Ave Nw, Norton, VA 24273 | 2017-03-16 |
| 1821548413 | William Luke Alls | Internal Medicine | 96 15th St., Suite 106, Norton, VA 24273 | 2016-10-07 |
| 1073978383 | Stephen Souther | Counselor | 515 Park Avenue Sw, Norton, VA 24273 | 2015-12-31 |
| 1306251889 | Rafaqat Rashid | Internal Medicine | 100 15th Street N.w, Norton Community Hospital, Internal Medicine Residency, Norton, VA 24273 | 2014-06-24 |
| Find all providers in zip 24273 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255967261 | Amanda Christine Croasmun | Nurse Practitioner | 3631 Durham Dr, Norton, OH 44203-6338 | 2020-03-21 |
| 1780182253 | Victoria Whitt | Nurse Practitioner | 692 Hamner Ave Ne, Norton, VA 24273-1124 | 2018-01-30 |
| 1275179129 | Lora Lou Karg | Nurse Practitioner | 1193 Norton Ave Ste A, Norton, OH 44203-9526 | 2019-11-25 |
| 1851937932 | Theresa Franey | Nurse Practitioner | 35 W Main St, Norton, MA 02766-2711 | 2019-11-22 |
| 1801359450 | Heather Childress | Nurse Practitioner | 610 Park Ave Nw, Norton, VA 24273-1922 | 2019-04-10 |
| 1134630098 | Ulema Graham | Nurse Practitioner | 184 W Main St, Norton, MA 02766-1243 | 2017-10-18 |
| 1578093662 | Megan Leann Nicely | Nurse Practitioner | 100 15th St Nw, Norton, VA 24273-1616 | 2017-06-13 |
| 1992237317 | Stephanie Williams | Nurse Practitioner | 102 15th St Nw, Suite 301, Norton, VA 24273-1627 | 2017-04-03 |
| 1023484797 | Rachel Lauren Cox | Nurse Practitioner | 184 W Main St, Norton, MA 02766-1243 | 2015-08-18 |
| 1336525336 | Katie Anne Trott | Nurse Practitioner | 35 W Main St, Norton, MA 02766-2711 | 2015-08-03 |
| Find all providers in NORTON | ||||
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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.