Individual provider Active NPI

Julia Allistair Bayless, RN

  • General Practice Registered Nurse
  • Golden Valley, MN
National Provider Identifier
1366051864
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
2459016 Issued in MN
Practice address
1300 Hidden Lakes Pkwy
Golden Valley, MN 55422-4286
Phone
(763) 588-2750
NPI assigned
Jul 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 2459016 MN Primary

Addresses

Primary practice location

1300 Hidden Lakes Pkwy
Golden Valley, MN 55422-4286

Mailing address

3516 3Rd Ave S
Minneapolis, MN 55408-4524

Other names 1

  • Julia Allistair Robertson-Bayless Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2459016MNMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1366051864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 3RD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HIDDEN LAKES PKWY",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224286",
            "telephone_number": "763-588-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLESS",
        "first_name": "JULIA",
        "middle_name": "ALLISTAIR",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MN",
            "license": "2459016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "ROBERTSON-BAYLESS",
            "middle_name": "ALLISTAIR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.