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MR. ZACHARY THOMAS BALLARD PMHNP MS NPI 1033643176


NPI Information

NPI: 1033643176
Provider Name: MR. ZACHARY THOMAS BALLARD, PMHNP, MS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
6240 KARLSRIDGE DR
DAYTON, OH
ZIP 45459
Phone: (937) 694-4563
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MR. Zachary Thomas Ballard, PMHNP, MS is a psychiatric/mental health nurse practitioner in Dayton, OH with 2 years of experience. MR. Zachary Thomas Ballard, PMHNP, MS NPI is 1033643176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduation Year:2022

The provider's business location address is:

6240 KARLSRIDGE DR
DAYTON, OH
ZIP 45459-402
Phone: (937) 694-4563

The NPI 1033643176 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/15/2017 and was last updated on 2/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN. 391021OHIONo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN.CNP.0032677OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.