Individual provider Active NPI

Meilani Tadique Jamias, FNP-BC

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1104376920
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9563 Issued in AZ
Practice address
655 S Dobson Rd Ste B113
Chandler, AZ 85224-5686
Phone
(480) 728-5020
Fax
(480) 899-5023
NPI assigned
Oct 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP9563 AZ Primary

Addresses

Primary practice location

655 S Dobson Rd Ste B113
Chandler, AZ 85224-5686

Mailing address

3030 N Central Ave Ste 1001
Phoenix, AZ 85012-2716
Phone (602) 406-4786

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
I20170105002238 AZ Practitioner - Nurse Practitioner 5294016283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Primary Care Physicians Arizona LLCGroup PAC ID 6406020155, 236 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Practice addresses (Care Compare)

13640 N Plaza del Rio Blvd
Peoria, AZ 85381-4846
Phone (623) 876-3800

21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7709
Phone (480) 512-3700

2225 W Southern Ave
Suite a
Mesa, AZ 85202-4716
Phone (623) 888-3502

Hospital & facility affiliations

  • Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kmtrask, PLLC Nurse Practitioner CurrentSince Sep 1, 2019 Accepting new patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Jan 1, 2017 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Jan 1, 2017 Accepting new patients
Banner Primary Care Physicians Arizona LLC Past Accepting new patients

Locations

3235 N Hunt Hwy
Ste 103
Florence, AZ 85132
Phone (520) 233-2770

1400 N Gilbert Rd
Ste P
Gilbert, AZ 85234
Phone (480) 272-0411

2200 E Williams Field Rd
Ste 200
Gilbert, AZ 85295
Phone (480) 452-3399

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

2225 W Southern Ave
Mesa, AZ 85202
Phone (480) 412-4101

564 W 9th Pl
Ste 2
Mesa, AZ 85201
Phone (480) 412-6344

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142
Phone (480) 512-3700

2474 E Hunt Hwy
Ste 10
San Tan Valley, AZ 85143
Phone (480) 543-6680

37100 N Gantzel Rd
Ste 201
San Tan Vly, AZ 85140
Phone (480) 394-4469

2600 E Southern Ave
Ste B2
Tempe, AZ 85282
Phone (480) 730-5100

Interoperability endpoints

  • Direct secure messaging: meilani.jamias@71082555932676.direct.elationemr.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1104376920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N CENTRAL AVE STE 1001",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122716",
            "telephone_number": "602-406-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S DOBSON RD STE B113",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245686",
            "telephone_number": "480-728-5020",
            "fax_number": "480-899-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMIAS",
        "first_name": "MEILANI",
        "middle_name": "TADIQUE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.