Jennifer Jay Bass, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

LM167 Issued in AZ

Practice address

6260 E Saddleback St
Mesa, AZ 85215-9639

Phone

(480) 440-0502

Fax

(480) 499-5599

NPI assigned

Dec 4, 2012

Last updated

Apr 25, 2014By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Red Mountain Midwifery LLC

  • Midwife
  • Mesa, AZ
  • NPI 1831509058
  NPD (past)

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1154666030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 E SADDLEBACK ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852159639",
            "telephone_number": "480-440-0502",
            "fax_number": "480-499-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 E SADDLEBACK ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852159639",
            "telephone_number": "480-440-0502",
            "fax_number": "480-499-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "JENNIFER",
        "middle_name": "JAY",
        "credential": "LM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AZ",
            "license": "LM167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mathew J Bassett, BHT
• Adam T. Bast, MA, CCC-SLP
• Sydney Basti
• Julie Ann Bateman
• Heather M Bates, LPC, LISAC

• Midwife in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Midwife in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.