LISA BALLANTYNE
NPI 1730646746
Registered Nurse - Psychiatric/Mental Health in Santa Rosa, CA

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.

Active since February 26, 2019

2245 CHALLENGER WAY, SANTA ROSA, CA 95407(707) 565-4970 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Lisa Ballantyne NPPES

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

LISA BALLANTYNE (NPI 1730646746) is an individual psychiatric/mental health provider in Santa Rosa, California, licensed in California (612777) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1730646746

Entity TypeIndividualFemale

Primary Taxonomy163WP0808X

Provider Legal NameLISA BALLANTYNE

Location Address2245 CHALLENGER WAYSanta Rosa, CA 95407-5418

Mailing Address2245 Challenger WaySanta Rosa, CA 95407-5418

Phone(707) 565-4970

Sole ProprietorNo

Enumeration DateFebruary 26, 2019

✔ NPI 1730646746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers

Taxonomy Code163WP0808X

License✔ Licensed in CA · 612777

2245 CHALLENGER WAY, Santa Rosa, CA 95407

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Other Identifiers 1

Other612777CA · Medi-cal

Other Providers at the Same Location NPPES 14

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

CHANDA M. ZANGA

Licensed Vocational Nurse