Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LEAF AQUILLA BALLAST JR.
NPI 1043146269
Military Health Care Provider in Mandeville, LA

Active since June 23, 2026
810 RAPATEL ST, MANDEVILLE, LA 70448(850) 736-3840 Get Directions Write a Review

NPPES record added: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leaf Aquilla Ballast Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAF AQUILLA BALLAST JR. (NPI 1043146269) is an individual military health care provider provider in Mandeville, Louisiana and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1043146269
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameLEAF AQUILLA BALLAST JR.
Location Address810 RAPATEL STMandeville, LA 70448-5528
Mailing Address810 Rapatel StMandeville, LA 70448-5528
Sole ProprietorNo
Enumeration DateJune 23, 2026
NPPES CertifiedJune 24, 2026
NPI 1043146269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
810 RAPATEL ST, Mandeville, LA 70448

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leaf Ballast's NPI number?

The NPI number for Leaf Ballast is 1043146269. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Where is Leaf Ballast located?

Leaf Ballast practices at 810 Rapatel St, Mandeville, LA 70448. The listed phone number is (850) 736-3840.

What is Leaf Ballast's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Leaf Ballast was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.