Tabita Balderas
Nurse Practitioner (Family)

Address: 201 S Hillside St, Wichita, KS 67211-2128
Phone: 3166826551

Tabita Balderas (NPI# 1356719678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1356719678
Entity Type Individual
Full Name Tabita Balderas
Credential APRN
Gender Female
Practice Address 201 S Hillside St
Wichita
KS 67211-2128
Practice Telephone 3166826551
Practice Fax Number 3166828151
Mailing Address 201 S Hillside St
Wichita
KS 67211-2128
Mailing Telephone 3166826551
Mailing Fax Number 3166828151
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2015-09-02
Last Update Date 2015-11-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 76850 KS

Physician Overview

NPI 1356719678
PAC ID by PECOS 1153621412
Professional Enrollment ID I20151118002902
Full Name Tabita Balderas
Organization Legal Name CLIFTON FAMILY MEDICINE LLC
Phone Number 3166826551
Gender F
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 4385837293
Number of Group Practice Members 5
Accepts Medicare Assignment Y
Report Quality Measures Y

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_226_1 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%

Office Location

Street Address 201 S HILLSIDE ST
City WICHITA
State KS
Zip Code 67211-2128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306886957 James A Hild Family Medicine 201 S Hillside St, Wichita, KS 67211-2128 2006-06-08
1255839346 Belinda Jo Werth Nurse Practitioner 201 S Hillside St, Wichita, KS 67211-2128 2018-01-24
1811434202 Shea D Fairchild Nurse Practitioner 201 S Hillside St, Wichita, KS 67211-2128 2017-01-24
1326471137 Melanie Ann Larkin Nurse Practitioner 201 S Hillside St, Wichita, KS 67211-2128 2013-08-15
1710292420 Clifton Family Medicine LLC Family Medicine 201 S Hillside St, Wichita, KS 67211-2128 2010-08-18
1861571259 Janet S Johnson Physician Assistant 201 S Hillside St, Wichita, KS 67211-2128 2006-11-04
1255413621 Christopher E Hayes Physician Assistant 201 S Hillside St, Wichita, KS 67211-2128 2006-10-19
1720196736 Antonio L Osio Family Medicine 201 S Hillside St, Wichita, KS 67211-2128 2006-08-29
1871601914 Andrea K Babb Physician Assistant 201 S Hillside St, Wichita, KS 67211-2128 2006-08-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386162683 Karlee Dawn Gluszek Specialist/Technologist 1947 S Lulu St, Wichita, KS 67211 2017-09-07
1780139659 Jaclyn Blyholder Dentist 639 S. Hillside, Wichita, KS 67211 2016-08-22
1750753232 Accurate Sleep Lab Clinical Medical Laboratory 411 S Pattie St Suite 2, Wichita, KS 67211 2015-10-23
1841628013 Joseph Michael Stech Family Medicine 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 2013-10-24
1205038726 Patricia (pat) J. Eagleman Social Worker 333 S. Greenwood, Wichita, KS 67211 2007-06-05
1114147717 Rodolfo A Argosino Md Pa Family Medicine 1148 S Hillside, 106, Wichita, KS 67211 2007-04-26
1801911086 Susan Wright Rockley Physical Therapist 2535 East Lincoln, Wichita, KS 67211 2007-03-20
1578618021 Dependable Assisted Living Home Health 401 S Greenwood St, Wichita, KS 67211 2007-01-24
1982759981 Unique Feet Pedorthics Inc Orthotist 750 South Hillside, Wichita, KS 67211 2007-01-23
1932275526 Preferred Family Healthcare, Inc. Case Manager/Care Coordinator 830 S. Hillside, Preferred Family Healthcare, Inc., Wichita, KS 67211 2006-11-27
Find all providers in zip 67211

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come…

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487128591 Morgan Lent Nurse Practitioner 2534 W Bobwhite Ln, Wichita, KS 67204-5528 2019-01-11
1851879753 John Phuoc Nguyen Nurse Practitioner 2210 S White Cliff Ln, Wichita, KS 67207-5454 2018-08-02
1255834735 Amanda Elizabeth Ast Nurse Practitioner 834 N Socora St Ste 4, Wichita, KS 67212-3279 2018-03-12
1871093385 Tiffany Leigh Warren Nurse Practitioner 9390 E Central Ave Ste 101, Wichita, KS 67206-2565 2018-02-20
1013421353 M-care Healthcare LLC Nurse Practitioner 7130 W Maple St Ste 230, Wichita, KS 67209-2101 2017-11-22
1164963005 Amy Marie Morris Nurse Practitioner 2421 S Cypress St, Wichita, KS 67210-2451 2017-03-11
1699217034 Melissa Anne Bailey Nurse Practitioner 10100 E Shannon Woods St Ste 100, Wichita, KS 67226-4104 2016-11-16
1578917704 Deborah S Pankey Nurse Practitioner 5423 S Midland St, Wichita, KS 67217-5531 2016-04-13
1528426129 Linda Zollars Nurse Practitioner 1845 Fairmount 209 Ahlberg Hl, Wichita, KS 67260-0001 2016-02-10
1528465135 Courtney Patterson-manfredi Nurse Practitioner 14925 E Tipperary Cir, Wichita, KS 67230-7034 2014-11-25
Find all providers in WICHITA

Competitor

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City WICHITA
Zip Code 67211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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