MRS. STEPHANIE A BALLENTINE (NPI# 1508196213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508196213 |
Entity Type | Individual |
Full Name | MRS. STEPHANIE A BALLENTINE |
Credential | APRN |
Practice Address |
19 Tyler St Ste 301 Nashua NH 03060-2951 |
Mailing Address |
Po Box 3677 Nashua NH 03061-3677 |
Practice Telephone | 6035950063 |
Practice Fax Number | 6035959419 |
Mailing Telephone | 6035777900 |
Mailing Fax Number | 6035777972 |
Enumeration Date | 2009-12-31 |
Last Update Date | 2020-08-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
032138-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | MEDICARE GROUP PTAN | RE2724 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780728048 | Stephanie Earline Ballentine | Dentist | 1315 Matheson Ave, Charlotte, NC 28205-1670 | 2007-02-19 |
Street Address |
19 TYLER ST STE 301 |
City | NASHUA |
State | NH |
Zip Code | 03060-2951 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427693563 | Cascades of Nh, LLC | Clinic/Center | 9 East Pearl Street, Nashua, NH 03060 | 2019-11-13 |
1548757016 | Janine N Savage | Occupational Therapist | Courville At Nashua, 22 Hunt Street, Courville, NH 03060 | 2018-04-19 |
1942705124 | Decoteau Orthodontics, Pllc | Dentist | 169 Kinsley St., Nashua, NH 03060 | 2018-03-28 |
1053774109 | Global Adult Daycare Health Center Inc | Nursing Care | 295 S. Daniel Webster Highway, #7, Nashua, NH 03060 | 2016-04-05 |
1851760300 | Alyssa Reault | Specialist/Technologist | 37 Paul Ave, Nashua, NH 03060 | 2015-09-15 |
1255725529 | Christopher J. Mancuso | Dermatology | 17 Prospect St Ste N-301, Nashua, NH 03060 | 2015-03-25 |
1437579323 | Jason T. Koch | Family Medicine | 280 Main St Ste 210, Nashua, NH 03060 | 2014-04-18 |
1295088540 | Mary C Bendel | Registered Nurse | 45 High Street, Nashua, NH 03060 | 2012-10-24 |
1720362650 | Fatima Sanders | Pharmacist | 217 Daniel Webster Highway, Nashua, NH 03060 | 2011-10-11 |
1922394337 | Kelley Purselley | Counselor | 440 Amhurst St, Nashua, NH 03060 | 2011-06-23 |
Find all providers in zip 03060 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417563560 | Virtualnp, LLC | Nurse Practitioner | 11 Melissa Dr, Nashua, NH 03062-3643 | 2020-09-23 |
1700410123 | Bryn A. Farrington | Nurse Practitioner | 10 Prospect St Ste 202, Nashua, NH 03060-3922 | 2020-02-25 |
1447804539 | Juliana Medrado | Nurse Practitioner | 20 Kessler Farm Dr Apt 699, Nashua, NH 03063-7125 | 2019-07-28 |
1972013068 | Kate A Nadeau | Nurse Practitioner | 505 W Hollis St Ste 106, Nashua, NH 03062-1386 | 2017-10-03 |
1184091639 | Tonya Watkins | Nurse Practitioner | 280 Main St Ste 431, Nashua, NH 03060-2921 | 2015-08-31 |
1619104536 | Brenda Dawn Koessl | Nurse Practitioner | #8 Antelope Lane, Nashua, MT 59248-0106 | 2009-06-18 |
1649374166 | Deborah Lynn Gebhardt | Nurse Practitioner | 383 E Dunstable Rd, Nashua, NH 03062-4216 | 2006-09-13 |
1477526325 | Geraldine Ann Colburn | Nurse Practitioner | 214 Daniel Webster Hwy, Cvs Minute Clinic, Nashua, NH 03060-5504 | 2006-02-10 |
1649243148 | Pamela J Williams | Nurse Practitioner | 29 Northwest Boulevard, Nashua, NH 03063-4068 | 2006-02-07 |
1952388944 | Susan Elizabeth Gust | Nurse Practitioner | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2005-12-29 |
Find all providers in NASHUA |
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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.