DR. HAZLE COURTNEY BALLINA (NPI# 1740542794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740542794 |
| Entity Type | Individual |
| Full Name | DR. HAZLE COURTNEY BALLINA |
| Other Name | H. COURTNEY BALLINA |
| Credential | APRN |
| Practice Address |
1500 Madison Ave New Richmond WI 54017-6693 |
| Practice Telephone | 7155447446 |
| Practice Fax Number | 6514127599 |
| Mailing Telephone | 6513154306 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6332 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R-207943-7 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 403 Stageline Rd, Hudson, WI 540167848 | 7155316800 | 7155316801 |
| Street Address |
1500 MADISON AVE |
| City | NEW RICHMOND |
| State | WI |
| Zip Code | 54017-6693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105619 | Matthew Michael Richard Kobriger | Marriage & Family Therapist | 1477 S Knowles Ave Suite 120, New Richmond, WI 54017 | 2020-08-22 |
| 1285148643 | River Valley Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 130 S. Knowles Ave., New Richmond, WI 54017 | 2017-11-21 |
| 1013351899 | Deerfield Care Cener, LLC | Clinic/Center | 575 Hospital Road, New Richmond, WI 54017 | 2013-04-23 |
| 1215239736 | Family Therapy Associates, LLC | Clinic/Center | 150 W. First St., Suite 270, New Richmond, WI 54017 | 2010-12-04 |
| 1255452215 | Joseph Scott Gustafson Sr. | Acupuncturist | 1475 Hwy 65, Pain Management Acupuncture of St Croix, New Richmond, WI 54017 | 2007-04-03 |
| 1467582957 | New Richmond Dental | Dentist | 1367 Campus Dr, New Richmond, WI 54017 | 2007-03-06 |
| 1588709513 | Holly Wolf | Occupational Therapist | 908 Brady Lane, New Richmond, WI 54017 | 2007-02-20 |
| 1396891867 | Jamie Marie Neumann | Physical Therapy Assistant | 535 Hospital Rd., New Richmond, WI 54017 | 2007-01-26 |
| 1467519660 | New Richmond Chiropractic Clinic Inc | Chiropractor | 446 S Knowles Ave, New Richmond, WI 54017 | 2007-01-03 |
| 1750457156 | Susan Ann Johnson | Chiropractor | 446 S. Knowles Ave, New Richmond, WI 54017 | 2006-11-28 |
| Find all providers in zip 54017 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457818759 | Kimberly Graham | Nurse Practitioner | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2019-02-23 |
| 1871947069 | Jennifer L. Fletch | Nurse Practitioner | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2016-04-14 |
| 1003242306 | Sarah Michelle Anderson | Nurse Practitioner | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2013-09-18 |
| 1134479421 | Amy M. Koepke | Nurse Practitioner | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2012-09-13 |
| 1255409546 | Tracy A Renn | Nurse Practitioner | 246 Tierney Dr, New Richmond, WI 54017-2515 | 2006-12-04 |
| 1003864018 | Nancy M Hoffman | Nurse Practitioner | 100 River Valley Blvd, New Richmond, OH 45157-8566 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1497352090 | Carlotta Williams | Nurse Practitioner | 1205 Juniper Ln, Oconomowoc, WI 53066-3100 | 2020-10-06 |
| 1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
| 1649877663 | Kirk O'hanison | Nurse Practitioner | 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616 | 2020-10-02 |
| 1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
| 1245844364 | Asia Ann Gomez | Nurse Practitioner | 2816 E Allison Ave, Cudahy, WI 53110-2541 | 2020-09-04 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
| City | NEW RICHMOND |
| Zip Code | 54017 |
Please comment or provide details below to improve the information on DR. HAZLE COURTNEY BALLINA.
| 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.