MS. PEGGY BALLARD PLACE (NPI# 1013075316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013075316 |
| Entity Type | Individual |
| Full Name | MS. PEGGY BALLARD PLACE |
| Credential | F.N.P. |
| Practice Address |
10052 Alta Sierra Dr Grass Valley CA 95949-6886 |
| Mailing Address |
16131 Brooks Rd Grass Valley CA 95945-4314 |
| Practice Telephone | 5304779100 |
| Mailing Telephone | 5302731320 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
10309 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10052 ALTA SIERRA DR |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95949-6886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124124250 | Dana Marie Lewis, D.o., Inc | General Practice | 10052 Alta Sierra Dr, Suite A, Grass Valley, CA 95949-6886 | 2006-09-16 |
| 1154462463 | Robert Alexander Racine | Dentist | 10052 Alta Sierra Dr, Suite B, Grass Valley, CA 95949 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215280649 | John Kingsley Pollard IIi | Chiropractor | 10110 Alta Sierra Drive, Suite A, Grass Valley, CA 95949 | 2012-10-23 |
| 1083813455 | Carolyn Sue Stewart | Registered Nurse | 13397 Mccarter Way, Grass Valley, CA 95949 | 2007-07-16 |
| 1487859419 | Susanne T Bock | Chiropractor | 10370 King Way, Grass Valley, CA 95949 | 2007-06-19 |
| 1891917365 | Charis Youth Center | Residential Treatment Facility, Emotionally Disturbed Children | 17036 Bissell Place, Grass Valley, CA 95949 | 2007-05-03 |
| 1093856510 | John H. Stewart | Marriage & Family Therapist | 908 Taylorville Rd., Ste. 206, Grass Valley, CA 95949 | 2007-02-08 |
| 1427196245 | Nancy Kathleen Rarick | Marriage & Family Therapist | 10055 Wolf Rd Ste 4, Grass Valley, CA 95949 | 2007-02-02 |
| 1184726432 | Kathleen Brady | Chiropractor | 10110 Alta Sierra Dr., Suite A, Grass Valley, CA 95949 | 2006-09-05 |
| 1700997681 | Gayle M Crough | Nurse Practitioner | 10058 Wolf Road, Grass Valley, CA 95949 | 2006-08-31 |
| 1356451017 | Raleys Inc | Pharmacy | 692a Freeman Lane, Grass Valley, CA 95949 | 2006-08-30 |
| 1013985340 | Walter Scott Miller | Specialist | 10042 Wolf Road, Suite A, Grass Valley, CA 95949 | 2006-03-11 |
| Find all providers in zip 95949 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703552 | Diana Petros | Nurse Practitioner | 12173 Ranchero Way, Grass Valley, CA 95949-8374 | 2020-08-31 |
| 1942357066 | Janet Leslie Windz | Nurse Practitioner | 108 Catherine Ln, Suite A, Grass Valley, CA 95945-5701 | 2007-01-03 |
| 1831139633 | Lisa Michelle Jeanson | Nurse Practitioner | 225 Colfax Ave, Grass Valley, CA 95945-6810 | 2006-06-08 |
| 1780148544 | Marie Claire Santos Basco | Nurse Practitioner | 300 Sierra College Dr, Grass Valley, CA 95945-5082 | 2019-01-25 |
| 1427531094 | Anna Catherine Morency | Nurse Practitioner | 844 Old Tunnel Rd, Grass Valley, CA 95945-8524 | 2018-09-10 |
| 1548781495 | Sarah Janell Bland | Nurse Practitioner | 1350 E Main St, Chapa-de Indian Health, Grass Valley, CA 95945 | 2017-06-30 |
| 1386091361 | Margo Bolander | Nurse Practitioner | 11270 Rough and Ready Hwy, Grass Valley, CA 95945-8530 | 2016-05-19 |
| 1528315538 | Jed Thomas Colvin | Nurse Practitioner | 155 Glasson Way, Grass Valley, CA 95945-5723 | 2012-08-08 |
| 1497944789 | Kathlee Marie Martin | Nurse Practitioner | 500 Crown Point Cir Ste 110, Grass Valley, CA 95945-9514 | 2007-10-23 |
| 1033232012 | Ruth Elizabeth Cutter | Nurse Practitioner | 150 Catherine Ln, Suite I, Grass Valley, CA 95945-5719 | 2007-04-06 |
| Find all providers in GRASS VALLEY | ||||
| City | GRASS VALLEY |
| Zip Code | 95949 |
Please comment or provide details below to improve the information on MS. PEGGY BALLARD PLACE.
| 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.