Jasmine Nicole Bass, FNP-C

Key facts

NPI

1124841903

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

249088 (GA)

Practice address

507 Bishop St NW Apt 2413
Atlanta, GA 30318-4482

Phone

(678) 358-8426

NPI assigned

Nov 1, 2024

Sex

Female

Sole proprietor

Yes

Organizations & group practices 3

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.

• Theramed Health, LLC Family Medicine Physician · Kennesaw, GA · NPI 1487056586
  Medicare reassignment NPD GA
• Signify Health Medical Associates, PLLC General Practice Physician · Dallas, TX · NPI 1750845863
  Medicare reassignment NPD GA · NURSE PRACTITIONER
• Select Rehabilitation, LLC Rehabilitation Clinic/Center · Glenview, IL · NPI 1346368248
  Care Compare group

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Rehabilitation, LLC (1,935 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 1, 2024.

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1124841903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 BISHOP ST NW APT 2413",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184482",
            "telephone_number": "678-358-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 BISHOP ST NW APT 2413",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184482",
            "telephone_number": "678-358-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "JASMINE",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "249088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

• Kusum Basnet
• Bobbi E Bass
• Danielle Bass
• David Ian Bass, M.D.
• Dena B Bass, CRNA
• Jennifer H Bass, RPH
• Joshua Bass
• Julian C Bass, CCP
• Kyla Jenai Bass, MD
• Lillian Bass

All providers in Atlanta, GA · Nurse Practitioner in Georgia