WILLIE BENJAMIN BALLOU (NPI# 1548657802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548657802 |
| Entity Type | Individual |
| Full Name | WILLIE BENJAMIN BALLOU |
| Credential | NP-C |
| Practice Address |
2718 Skyview Point Dr None Houston TX 77047-8122 |
| Practice Telephone | 2819086346 |
| Mailing Telephone | 2819086346 |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP127755 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2718 SKYVIEW POINT DR NONE |
| City | HOUSTON |
| State | TX |
| Zip Code | 77047-8122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528693827 | Gloss Dental | Dentist | 1416 W Orem Dr, Houston, TX 77047 | 2020-03-06 |
| 1093347486 | Kayla A Johnson | Nurse Practitioner | 1540 Summer City Dr, Houston, TX 77047 | 2020-02-04 |
| 1548802432 | Patsy Ward | Technician | 12707 Claygate Dr., Houston, TX 77047 | 2019-10-11 |
| 1245895242 | Chinedu Nwabuona | Pharmacist | 12627 City Village Lane, Houston, TX 77047 | 2019-05-06 |
| 1417422866 | Adetola Adeosun | Occupational Therapist | 11931 Harristown Dr, Houston, TX 77047 | 2018-10-11 |
| 1730694787 | City Park Care Center, LLC | Skilled Nursing Facility | 12262 Cityscape Avenue, Houston, TX 77047 | 2017-12-12 |
| 1033591151 | Latina Baxter | Doula | 2814 Trinity Glen Ln., Houston, TX 77047 | 2015-06-25 |
| 1114336807 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 10200 Cullen Blvd, Houston, TX 77047 | 2014-08-06 |
| 1871915363 | Latoya Mitchell | Speech-Language Pathologist | 3027 Westwood Manor Lane, Houston, TX 77047 | 2014-01-17 |
| 1801227665 | Rediate Negash | Nurse Practitioner | 3550 Swingle Rd Ms Bcm 700, Houston, TX 77047 | 2013-12-04 |
| Find all providers in zip 77047 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790303196 | Restorative Health, LLC | Nurse Practitioner | 4654 Highway 6 N Ste 308, Houston, TX 77084-2879 | 2020-07-12 |
| 1487271623 | Lasean Denise Radway | Nurse Practitioner | 12727 Featherwood Dr Ste 103, Houston, TX 77034-4907 | 2020-07-04 |
| 1285275412 | Sonia Bassett | Nurse Practitioner | 12314 Knobcrest Dr, Houston, TX 77070-2438 | 2019-09-29 |
| 1255987152 | Seema Sadhwani Aggarwal | Nurse Practitioner | 6901 Bertner Ave # 535-c, Houston, TX 77030-3901 | 2019-08-15 |
| 1588134134 | Latrice Milbourne | Nurse Practitioner | 2727 Travis St # 728, Houston, TX 77006-3533 | 2018-11-27 |
| 1356836779 | Hassanat Hassan | Nurse Practitioner | 8123 Barnes Ridge Ln, Houston, TX 77072-0105 | 2018-06-27 |
| 1255844932 | Laura Ogbechie | Nurse Practitioner | 6770 Bertner Ave., C330, Houston, TX 77030-2604 | 2017-11-16 |
| 1831609528 | Ifeoma Jennifer Ukwamedua | Nurse Practitioner | 14611 Wynbourn Way, Houston, TX 77083-4700 | 2017-10-06 |
| 1538697289 | Norma E Puente | Nurse Practitioner | 9242 Buffalo Bend Ln, Houston, TX 77089-5800 | 2017-05-25 |
| 1467992719 | Omobolanle Mutiat Sofowora-austin | Nurse Practitioner | 2828 Hayes Rd Apt 734, Houston, TX 77082-6637 | 2017-03-06 |
| Find all providers in HOUSTON | ||||
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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.