Leloole Sole Barika, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

220610 Issued in AZ

Practice address

103 Medicine Way Road
Peridot, AZ 85542-0787

Phone

(928) 475-1400

NPI assigned

Jun 30, 2011

Last updated

Oct 17, 2019By the provider in NPPES

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

Enrolled in TX, AZ2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: leloole.barikanp.p1@direct.cbridges.nextgenshare.com

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

• Community Bridges, Inc.

  dba CBI - Encompass Page Integrated Health Home

  • Adult Mental Health Clinic/Center
  • Page, AZ
  • NPI 1558095315
  Medicare reassignment Care Compare group NPD
• Gila River Health Care Corporation

  dba Komatke Health Center

  • Critical Access Hospital
  • Laveen, AZ
  • NPI 1376538231

  TX

  Medicare reassignment NPD
• San Carlos Apache Healthcare Corporation

  • Critical Access Hospital Clinic/Center
  • Peridot, AZ
  • NPI 1265813075

  TX

  Medicare reassignment NPD
• Empire Health and Therapy LLC

  • Substance Abuse Rehabilitation Facility
  • Laveen, AZ
  • NPI 1245992361
  NPD Authorized official
• Empire Health and Therapy LLC

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
  • NPI 1891307328
  NPD Authorized official
• Rectiva Integrated Healthcare PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1851156905
  NPD Authorized official
• Community Bridges, Inc.

  dba Community Psychiatric Emergency Center - Outpatient

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1588348775
  NPD
• Community Bridges, Inc.

  dba Community Psychiatric Emergency Center (CPEC)

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1891068813
  NPD
• Gila River Health Care

  dba Thwajik Ke Outpatient Behavioral Health Services

  • Community/Behavioral Health Agency
  • Laveen, AZ
  • NPI 1598021495
  NPD
• Gila River Health Care Corporation

  dba Red Tail Hawk BHS-CM

  • Case Management Agency
  • Chandler, AZ
  • NPI 1629579230
  NPD
• San Carlos Apache Healthcare Corporation

  dba Clarence Wesley Health Center

  • Clinic/Center
  • Bylas, AZ
  • NPI 1417330713
  NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  Nurse Practitioner

  NPD

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1124315908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "PERIDOT",
            "state": "AZ",
            "postal_code": "855420787",
            "telephone_number": "928-475-1274",
            "fax_number": "928-475-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MEDICINE WAY ROAD",
            "city": "PERIDOT",
            "state": "AZ",
            "postal_code": "855420787",
            "telephone_number": "928-475-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Bramlett Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300452359",
            "country_code": "US",
            "telephone_number": "678-985-8412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARIKA",
        "first_name": "LELOOLE",
        "middle_name": "SOLE",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "220610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "546139",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Lara Abudia, PHARM.D.
• Fabrice Afanyu-Lorater, RPH.
• Dyanna Ah Quin
• Akdhc, LLC
• Julius Asofar Anumbosi
• Spencer Bigler, FNP
• Christopher Blair, PHARMD
• Mathew Michael Bull
• Judith-Ann Marie Chambers
• Lakota Cheek, MD

• Family Nurse Practitioner in Peridot, AZ
• Providers in Peridot, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.