Healthcare Provider Details

I. General information

NPI: 1982512703
Provider Name (Legal Business Name): ASHLEE BALMASEDA PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 ADAMS ST STE 218&219
CARMEL IN
46032-7832
US

IV. Provider business mailing address

1730 CARDINAL LN
BROWNSBURG IN
46112-8863
US

V. Phone/Fax

Practice location:
  • Phone: 765-969-0450
  • Fax:
Mailing address:
  • Phone: 765-969-0450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71018597A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: