Active NPI
Tiffany Diane Bailey, FNP
- Family Nurse Practitioner
- Minnetonka, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP9780
- Practice address
- 9900 Bren Road East
Mail Route MN 008-B213
Minnetonka, MN 55343 - Phone
- (520) 466-7883
- NPI assigned
- Jan 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP9780 | AZ | Primary |
Addresses
Primary practice location
9900 Bren Road East
Mail Route MN 008-B213
Minnetonka, MN 55343
Mailing address
205 N Stuart Blvd
Eloy, AZ 85131-2507
Phone (520) 466-7883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236931 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3431 W Frye Rd
Ste4, Unit 123
Chandler, AZ 85226-4976
Phone (480) 490-4400
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.97 of 100
- Quality
- 63.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 89.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP9780 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U Medical PLLC | Current | Accepting new patients | |
| Pulmonary Consultants P C | Current | Accepting new patients | |
| Procura Wound Care | Current | Accepting new patients | |
| Easy Health Medical Solutions PC | Current | Accepting new patients | |
| Pulmonary Consultants P.C. | Current | Accepting new patients |
Locations
4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
6750 E Baywood Ave
Ste 401
Mesa, AZ 85206
Phone (480) 835-7111
7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600
2163 E Baseline Rd
Ste 105
Tempe, AZ 85283
Phone (480) 775-3503
10960 Wilshire Blvd
Los Angeles, CA 90024
10960 Wilshire Blvd
Ste 406
Los Angeles, CA 90024
1180 S Beverly Dr
Ste 700
Los Angeles, CA 90035
Phone (213) 584-2331
500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DBCHBD
Organizations & group practices 6
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.
-
- Family Nurse Practitioner
- San Tan Valley, AZ
- NPI 1861087306
-
- General Practice Physician
- Phoenix, AZ
- NPI 1033096169
-
- Pulmonary Disease Physician
- Mesa, AZ
- NPI 1497035091
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1821796962
-
- Pulmonary Disease Physician
- Mesa, AZ
- NPI 1407978091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1174069348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N STUART BLVD",
"city": "ELOY",
"state": "AZ",
"postal_code": "851312507",
"telephone_number": "520-466-7883",
"fax_number": "520-466-3946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 BREN ROAD EAST",
"address_2": "MAIL ROUTE MN 008-B213",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55343",
"telephone_number": "520-466-7883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "TIFFANY",
"middle_name": "DIANE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-12",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP9780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236931",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.