Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DESTINY SHANTEE BALLANCE MSN, APRN, FNP-BC
NPI 1073334959
Nurse Practitioner in Rancho Cucamonga, CA

Q: What is Destiny Ballance's NPI number?

The NPI number for Destiny Ballance is 1073334959. It was assigned to this individual provider in the NPPES registry on October 23, 2024.

Q: What is Destiny Ballance's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Destiny Ballance was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since October 23, 2024

11175 AZUSA CT STE 110, RANCHO CUCAMONGA, CA 91730(909) 715-9611 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2026, Mar 26, 2026, Mar 7, 2026 (3 updates tracked since 2026).

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About Destiny Shantee Ballance Msn, Aprn, Fnp-bc NPPES

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

DESTINY SHANTEE BALLANCE MSN, APRN, FNP-BC (NPI 1073334959) is an individual nurse practitioner in Rancho Cucamonga, California, licensed in California (95038680) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1073334959

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDESTINY SHANTEE BALLANCECredential: MSN, APRN, FNP-BC

Location Address11175 AZUSA CT STE 110Rancho Cucamonga, CA 91730-4933

Mailing Address11175 Azusa Ct Ste 110Rancho Cucamonga, CA 91730-4933

Phone(909) 715-9611

Sole ProprietorYes

Enumeration DateOctober 23, 2024

Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1073334959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in CA · 95038680✔ Licensed in NY · 359569✔ Licensed in WA · AP70114616

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 95042920 (CA)

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 95042920 (CA)

11175 AZUSA CT STE 110, Rancho Cucamonga, CA 91730

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARQUAN THOMAS

Community Health Worker