Individual provider Active NPI

Ruth Bailey, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Buckeye, AZ
National Provider Identifier
1013749324
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
312207 Issued in AZ
Practice address
23839 W Chipman Rd
Buckeye, AZ 85326-7341
Phone
(602) 565-8806
NPI assigned
Aug 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 312207 AZ Primary

Addresses

Primary practice location

23839 W Chipman Rd
Buckeye, AZ 85326-7341

Mailing address

4389 E Leroy St
Gilbert, AZ 85295-0063
Phone (480) 729-9300

Other practice location 1

1952 E Lind Rd
Tucson, AZ 85719-2343
Phone (520) 612-0466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118001215 AZ Practitioner - Nurse Practitioner 0042744708 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Pmhnp LLC Psychiatric/Mental Health CurrentSince Apr 20, 2025 Accepting new patients
Remind Health LLC CurrentSince Nov 11, 2024 Accepting new patients

Locations

7201 W Camino San Xavier
Glendale, AZ 85308
Phone (623) 773-6100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1013749324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4389 E LEROY ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950063",
            "telephone_number": "480-729-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23839 W CHIPMAN RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853267341",
            "telephone_number": "602-565-8806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1952 E Lind Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857192343",
            "country_code": "US",
            "telephone_number": "520-612-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "RUTH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "312207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.