MS. NATASHA BALLENTINE OBRIST


Address: 2713 Cumberland St Nw, Roanoke, VA 24012-7611
Phone: 5405197971

MS. NATASHA BALLENTINE OBRIST (NPI# 1992181085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992181085
Entity Type Individual
Full Name MS. NATASHA BALLENTINE OBRIST
Credential PMHNP
Practice Address 2713 Cumberland St Nw
Roanoke
VA 24012-7611
Mailing Address 606 Wade Ave
Suite 100
Raleigh
NC 27605
Practice Telephone 5405197971
Mailing Telephone 9194432360
Enumeration Date 2015-07-30
Last Update Date 2016-08-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
0017142327 VA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
0024172785 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2713 CUMBERLAND ST NW
City ROANOKE
State VA
Zip Code 24012-7611

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1740638220 Kevin E Steinberger Physical Therapist 2730 Forest Oak Dr, Roanoke, VA 24012 2016-05-25
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1881259158 Ryan Edward Topel Nurse Practitioner 2017 Jefferson St Sw, Roanoke, VA 24014-2419 2019-05-02
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1659627750 Virginia Tucker Hart Nurse Practitioner 2017 Jefferson St Sw, Roanoke, VA 24014-2419 2012-07-26
1124395991 Tamara Leigh Baldwin Nurse Practitioner 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 2011-11-22
1497041834 Regional Health Management Corporation Nurse Practitioner 469 Price St, Roanoke, AL 36274-2104 2011-06-23
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1295919454 Melinda L Luckay Nurse Practitioner 4515 Brambleton Ave, Suite B, Roanoke, VA 24018-3436 2007-12-24
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Competitor

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City ROANOKE
Zip Code 24012

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Dataset Information

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.

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