JESSICA BALLARD (NPI# 1053809616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053809616 |
Entity Type | Individual |
Full Name | JESSICA BALLARD |
Credential | CLC |
Practice Address |
177 S Easy St Missoula MT 59802-5485 |
Practice Telephone | 3093335166 |
Enumeration Date | 2018-04-28 |
Last Update Date | 2018-04-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568000768 | Jessica Ballard | Specialist/Technologist | 17823 Poplar Grove Rd, Poplar Grove, IL 61065-9014 | 2019-12-18 |
1568020196 | Jessica Ballard | Registered Nurse | 50 Medical Park Dr E, Birmingham, AL 35235-3401 | 2019-05-29 |
1730637224 | Jessica Ballard | Registered Nurse | 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2016-09-14 |
1962635086 | Jessica Lynn Ballard | Counselor | 1072 S Dixie Blvd, Radcliff, KY 40160-1103 | 2009-08-25 |
1407925332 | Jessica A Ballard | Audiologist | 3525 Nw 56th St, A-150, Oklahoma City, OK 73112-4550 | 2006-11-07 |
Street Address |
177 S EASY ST |
City | MISSOULA |
State | MT |
Zip Code | 59802-5485 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
Find all providers in zip 59802 |
Taxonomy Code | 174N00000X |
Grouping | Other Service Providers |
Classification | Lactation Consultant, Non-RN |
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235534421 | Marisa Wright | Lactation Consultant, Non-RN | 1925 Burlington Ave, Missoula, MT 59801-5427 | 2014-10-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134758154 | Shannon Hochhalter | Lactation Consultant, Non-RN | 963 Legendary Ln, Victor, MT 59875 | 2020-04-02 |
1538796867 | Elizabeth Ann Lake | Lactation Consultant, Non-RN | 20 3rd St W, Kremlin, MT 59532-7708 | 2020-03-25 |
1427432210 | Elizabeth Rae Susanne Williams | Lactation Consultant, Non-RN | 608 3rd St W, Polson, MT 59860-2617 | 2015-07-12 |
1821496563 | Randina Hoyt | Lactation Consultant, Non-RN | 64659 Jocko St, Ravalli, MT 59863-9715 | 2014-12-11 |
1982063871 | Dawn Gordon-wilcox | Lactation Consultant, Non-RN | 25 W Front St, Butte, MT 59701-2801 | 2016-02-19 |
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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.