CLARISA BALLARTA COLCHADO FNP NPI 1013552140

NPI Information

  • NPI: 1013552140
  • Provider Name: CLARISA BALLARTA COLCHADO, FNP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 433 192ND TANK BN ROAD
    BLDG 853
    FORT KNOX, KY
    ZIP 40121
  • Phone: (502) 624-3149

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NPI Details

Clarisa Ballarta Colchado, FNP is a family medicine in Fort Knox, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Clarisa Ballarta Colchado, FNP NPI is 1013552140. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

433 192ND TANK BN ROAD
BLDG 853
FORT KNOX, KY
ZIP 40121-111
Phone: (502) 624-3149

The enumeration date for this NPI number is 11/13/2019 and was last updated on 11/13/2019.

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
1207Q00000XFamily MedicineNP95010873CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NP95010873OTHERCALIFORNIATRICARE INSURANCE- MILITARY

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: 11/21/2025

NPI Synchronization or Removal

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