Individual ProviderCinda Joyce BallardNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address720 W Hill St, Louisville, KY 40208-2216(502) 636-3164(502) 969-6552PECOS EnrollmentBased on the most recent information from CMS, provider Cinda Joyce Ballard does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1649329731Provider TypeIndividualFull NameBallard, Cinda JoyceCredentialARNPGenderFemaleSole ProprietorNoEnumeration Date1/9/2007Last Updated7/2/2009Contact InformationPractice LocationPractice Address720 W Hill St, Louisville, KY 40208-2216Phone(502) 636-3164Fax(502) 634-3731Mailing LocationMailing AddressPO Box 950257, Louisville, KY 40295-0257Phone(502) 969-6552Fax(502) 969-3799Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense3857PKentuckyProvider IdentifiersIDDescriptionIssuerID096484DescriptionOtherIssuerSIHO - NLPCCKentuckyID3525229000DescriptionOtherIssuerPASSPORT ADVTG - NLPCCKentuckyID78009719DescriptionMedicaidIssuerUnlistedKentuckyID098856DescriptionOtherIssuerSIHO - NORTON ICCKentuckyID000000568032DescriptionOtherIssuerANTHEM - NLPCCKentuckyID50019417DescriptionOtherIssuerPASSPORT - NLPCCKentuckyID0042308DescriptionOtherIssuerMEDICARE - KY - NLPCCKentucky