LISA BALLANTYNE (NPI# 1730646746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730646746 |
| Entity Type | Individual |
| Full Name | LISA BALLANTYNE |
| Practice Address |
2245 Challenger Way Santa Rosa CA 95407-5418 |
| Practice Telephone | 7075654970 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
612777 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 612777 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225493174 | Lisa Ballantyne | Naturopath | 205 Bethel Ave, Port Orchard, WA 98366-5215 | 2015-12-19 |
| Street Address |
2245 CHALLENGER WAY |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-5418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275066193 | Alyssia Cruz | Counselor | 2245 Challenger Way, Santa Rosa, CA 95407-5418 | 2017-04-07 |
| 1114564960 | Andrew Warren Bunnell | Social Worker | 2245 Challenger Way, Santa Rosa, CA 95407-5418 | 2019-11-27 |
| 1649829946 | Bea Esbit | Student in an Organized Health Care Education/Training Program | 2245 Challenger Way, Santa Rosa, CA 95407-5418 | 2019-09-09 |
| 1437614849 | Chanda M. Zanga | Licensed Vocational Nurse | 2245 Challenger Way, Santa Rosa, CA 95407-5418 | 2019-02-10 |
| 1720551278 | Meta Lynn Velez | Marriage & Family Therapist | 2245 Challenger Way, Santa Rosa, CA 95407-5418 | 2019-01-08 |
| 1861965725 | Verna Jane Gifford | Student in an Organized Health Care Education/Training Program | 2245 Challenger Way, Santa Rosa, CA 95407-5418 | 2019-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790439 | Beatrice Muthoni Nganga | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2020-05-03 |
| 1811542186 | Andrea Marie Ladow-kenny | Registered Nurse | 2227 Capricorn Way Ste 207, Santa Rosa, CA 95407-5486 | 2019-08-05 |
| 1932763596 | Monica Kidd | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2019-04-29 |
| 1114412376 | Dylan Grieve | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2018-06-28 |
| 1104328814 | Toni Word | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2018-03-08 |
| 1174025076 | Jamell Baxter | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2018-03-06 |
| 1750890703 | Patricia Aileen Francis | Registered Nurse | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-09-21 |
| 1447774591 | Sarah Katherine Johnson | Registered Nurse | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-07-31 |
| 1417485509 | Shawnna Marie Fox | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2017-06-01 |
| 1912457326 | Robert Eric Acuna | Registered Nurse | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2016-10-10 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
Please comment or provide details below to improve the information on LISA BALLANTYNE.
| 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.