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AUDRA BALLARD
NPI 1891533238
Student in an Organized Health Care Education/Training Program in San Rafael, CA

Active since July 18, 2024
3270 KERNER BLVD STE C, SAN RAFAEL, CA 94901(415) 457-4554 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Audra Ballard NPPES

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

AUDRA BALLARD (NPI 1891533238) is an individual student in an organized health care education/training program in San Rafael, California and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1891533238
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAUDRA BALLARD
Location Address3270 KERNER BLVD STE CSan Rafael, CA 94901-4840
Mailing Address1917 Kinross WaySan Jose, CA 95122-2943 · (214) 797-7064
Phone(415) 457-4554
Sole ProprietorYes
Enumeration DateJuly 18, 2024
NPPES CertifiedJuly 18, 2024
✔ NPI 1891533238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3270 KERNER BLVD STE C, San Rafael, CA 94901
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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.

JEREMY J PORTJE
Peer Specialist
3270 KERNER BLVD STE C
SAN RAFAEL, CA 94901
Marin County (415) 960-8290
SONIA SOANS
Peer Specialist
3270 KERNER BLVD STE C
SAN RAFAEL, CA 94901
Marin County (415) 457-4554
LISA MARIE RILEY
Peer Specialist
3270 KERNER BLVD STE C
SAN RAFAEL, CA 94901
Marin County (415) 457-4554
JENNIFER JOY CARTER
Peer Specialist
3270 KERNER BLVD STE C
SAN RAFAEL, CA 94901
Marin County (415) 457-4554
TODD RUBINGER
Peer Specialist
3270 KERNER BLVD STE C
SAN RAFAEL, CA 94901
Marin County (415) 457-4554
MENTAL HEALTH ADVOCATES OF MARIN
Peer Specialist
3270 KERNER BLVD STE C
SAN RAFAEL, CA 94901
Marin County (970) 390-8609
ENTERPRISE RESOURCE CENTER
Community/Behavioral Health
3270 KERNER BLVD STE C
SAN RAFAEL, CA 94901
Marin County (415) 457-4554
DAVID VARA
Peer Specialist
3270 KERNER BLVD STE C
SAN RAFAEL, CA 94901
Marin County (154) 574-5544

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 Audra Ballard's NPI number?

The NPI number for Audra Ballard is 1891533238. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Where is Audra Ballard located?

Audra Ballard practices at 3270 Kerner Blvd Ste C, San Rafael, CA 94901. The listed phone number is (415) 457-4554.

What is Audra Ballard's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Audra Ballard was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.