Individual provider Active NPI

Jamie Baylor

  • Family Nurse Practitioner
  • Renton, WA
National Provider Identifier
1245015445
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61472926 Issued in WA
Practice address
604 Oakesdale Ave SW Ste 102
Renton, WA 98057-5204
Phone
(253) 372-7960
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61472926 WA Primary

Addresses

Primary practice location

604 Oakesdale Ave SW Ste 102
Renton, WA 98057-5204

Mailing address

4811 N 14TH St
Tacoma, WA 98406-3209
Phone (253) 686-2269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231006001610 WA Practitioner - Nurse Practitioner 7012362361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Specialty Service PSGroup PAC ID 4385532910, 6 clinicians

Practice addresses (Care Compare)

11203 Bridgeport Way SW
Lakewood, WA 98499-3002
Phone (253) 589-1380

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61472926WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Aug 24, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Allergy & Asthma Specialty Service PS CurrentSince Oct 21, 2024 Accepting new patients
Multicare Health System CurrentSince Aug 24, 2023 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 310
Gig Harbor, WA 98335
Phone (253) 589-1380

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

11203 Bridgeport Way SW
Lakewood, WA 98499
Phone (253) 589-1380

318 39th Ave SW
Ste B
Puyallup, WA 98373
Phone (253) 589-1380

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1245015445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 N 14TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984063209",
            "telephone_number": "253-686-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 OAKESDALE AVE SW STE 102",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575204",
            "telephone_number": "253-372-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLOR",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61472926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.