KAREN ANN BALLARD (NPI# 1669801387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669801387 |
| Entity Type | Individual |
| Full Name | KAREN ANN BALLARD |
| Credential | F.N.P. |
| Practice Address |
417 Sw 117th Ave Suite 100 Portland OR 97225-5924 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032161800 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2014-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201391813NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | RR MEDICARE - PROVIDENCE | P01328156 | 01 |
| OR | 500664691 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538200530 | Karen Kay Ballard | Nurse Practitioner | 1710 W. Southern Ave, Concentra - Mesa, Mesa, AZ 85034 | 2007-02-11 |
| 1215121264 | Karen Suzanne Ballard | Obstetrics & Gynecology | 19 Bradhurst Ave, Suite 2700s, Hawthorne, NY 10532-2140 | 2007-09-04 |
| Street Address |
417 SW 117TH AVE SUITE 100 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588666432 | Myrna Antonio Casono | Internal Medicine | 417 Sw 117th Ave, Portland, OR 97225-5924 | 2005-08-11 |
| 1871065649 | Kathryn Elise Burk | Physician Assistant | 417 Sw 117th Ave, Portland, OR 97225-5924 | 2018-12-18 |
| 1447736608 | Jonathan Ryan Fordyce | Nurse Practitioner | 417 Sw 117th Ave, Portland, OR 97225-5924 | 2018-07-11 |
| 1609206036 | Nicole Knigge | Physician Assistant | 417 Sw 117th Ave, 2nd Floor, Portland, OR 97225-5924 | 2013-11-21 |
| 1043648330 | Yvonne Howell | Physician Assistant | 417 Sw 117th Ave, Suite 200, Portland, OR 97225-5924 | 2013-10-23 |
| 1528250131 | Megan Lear Mudrick | Family Medicine | 417 Sw 117th Ave, Suite 100, Portland, OR 97225-5924 | 2007-08-16 |
| 1346450319 | Jean D Lee | Internal Medicine | 417 Sw 117th Ave, 2nd Floor, Portland, OR 97225-5924 | 2007-05-22 |
| 1376680918 | Connie Volpi | Physician Assistant | 417 Sw 117th Ave, 2nd Floor, Portland, OR 97225-5924 | 2007-01-31 |
| 1154408151 | Michael R. Mcclung Md | Clinic/Center | 417 Sw 117th Ave, Ste. 120, Portland, OR 97225-5924 | 2006-11-01 |
| 1083714141 | Providence Health & Services - Oregon | Clinic/Center | 417 Sw 117th Ave, 2nd Floor, Portland, OR 97225-5924 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822794 | Danielle Langer | Nurse Practitioner | 35 Ridgeview Rd, Portland, CT 06480-4014 | 2020-08-23 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
| 1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
| 1407401474 | Abby Christine Vopal | Nurse Practitioner | 66 Bramhall St Fl 1, Portland, ME 04102-3355 | 2019-08-07 |
| 1770145294 | Cynthia Marie Martinez | Nurse Practitioner | 1145 Austin St, Portland, TX 78374-2013 | 2019-07-04 |
| 1528532306 | Matthew James Keelin | Nurse Practitioner | 6801 Ne Cornfoot Rd, Portland, OR 97218-2743 | 2019-01-15 |
| 1659847580 | Colleen Jeanette Scott | Nurse Practitioner | 650 Nw Irving St, Portland, OR 97209-1272 | 2018-10-18 |
| Find all providers in PORTLAND | ||||
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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.