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

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: August 16, 2026.

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 13

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

AMANDA RUTH HUBBELL
Social Worker
2245 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4947
ANDREW WARREN BUNNELL
Social Worker (Clinical)
2245 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4943
JOSE VINAS-RAMIREZ
Day Training/Habilitation Specialist
2245 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-5715
JENNIFER JAQUELIN OSEGUERA CHAVEZ
Case Manager/Care Coordinator
2245 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4980
LISA JOANNE ELLIS
Day Training/Habilitation Specialist
2245 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-6338
ALYSSIA CRUZ LCSW
Social Worker (Clinical)
2245 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4431
JEFFREY PAUL PUCKETT ASW
Social Worker
2245 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4993
CHANDA M. ZANGA
Licensed Vocational Nurse
2245 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-1262

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 Lisa Ballantyne's NPI number?

The NPI number for Lisa Ballantyne is 1730646746. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Where is Lisa Ballantyne located?

Lisa Ballantyne practices at 2245 Challenger Way, Santa Rosa, CA 95407. The listed phone number is (707) 565-4970.

What is Lisa Ballantyne's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Lisa Ballantyne was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.