Mary Margaret Bazaldua, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9234572 Issued in FL

Practice address

6817 Southpoint Pkwy
Suite 2304
Jacksonville, FL 32216-6282

Phone

(904) 296-1874

Fax

(904) 296-1877

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Apex House Call Doctors LLC

  • Adult Medicine Physician
  • Jacksonville, FL
  • NPI 1841241015
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124070446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4049 MCGIRTS BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104340",
            "telephone_number": "812-480-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY",
            "address_2": "SUITE 2304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166282",
            "telephone_number": "904-296-1874",
            "fax_number": "904-296-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZALDUA",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9234572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENS",
            "identifier": "APRN 9234572",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baymeadows Chiropractic and Physical Therapy LLC
• Baymeadows Injury & Wellness LLC
• Baymeadows Pediatric Care Inc
• Baymeadows Primary Care, Inc.
• Maher A Baz, MD
• Claudine Bazelais, SLP
• Frandia Bazelais, SLP
• Kacey Bazler
• Jennifer Bazley, MOT
• Alireza Bazooband, MD

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.