1013552140 NPI number — CLARISA BALLARTA COLCHADO FNP

Table of content: CLARISA BALLARTA COLCHADO FNP (NPI 1013552140)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013552140 NPI number — CLARISA BALLARTA COLCHADO FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COLCHADO
Provider First Name:
CLARISA
Provider Middle Name:
BALLARTA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013552140
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/13/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5887 ADAMS ST # A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT KNOX
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40121-2043
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
323-206-2734
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
433 192ND TANK BN ROAD
Provider Second Line Business Practice Location Address:
BLDG 853
Provider Business Practice Location Address City Name:
FORT KNOX
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40121-5111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-624-3149
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/13/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  NP95010873 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: NP95010873 . This is a "TRICARE INSURANCE- MILITARY" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".