Denise R Bahadar, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP-1169A Issued in ID

Practice address

2061 N Nyborg Way
Meridian, ID 83646-1262

Phone

(208) 392-8383

Fax

(866) 575-9302

NPI assigned

Jul 28, 2012

Last updated

Mar 24, 2022By 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

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.

Opted out of Medicare

Yes, effective Apr 1, 2022 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIBDDD

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.

• Live Well Health and Nutrition PLLC

  • Clinic/Center
  • Boise, ID
  • NPI 1952815623
  NPD Authorized official
• Durham Family Medicine, PLLC

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1215714084
  NPD
• Treasure Valley Occupational Medicine

  • Occupational Medicine Physician
  • Boise, ID
  • NPI 1497211148
  NPD (past)

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

{
    "created_epoch": "1343433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1376899278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 N NYBORG WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461262",
            "telephone_number": "208-392-8383",
            "fax_number": "866-575-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 N NYBORG WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461262",
            "telephone_number": "208-392-8383",
            "fax_number": "866-575-9302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 W State St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837024039",
            "country_code": "US",
            "telephone_number": "208-345-6768",
            "fax_number": "208-345-3266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHADAR",
        "first_name": "DENISE",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-28",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1169A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Bacon, BA
• Deborah J Baerlocher, AU.D.
• Sandra A Baeza Nunez, LPC
• Naliah Jade Baeza
• Bianca Bagdon, LPC
• Carly C Bailey Neff, LSW
• Brooke E Bailey, LMSW
• Glen Ronald Bailey, MPT
• Shara Bailey
• Jessica Marie Baird, LMHCA

• Family Nurse Practitioner in Meridian, ID
• Providers in Meridian, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.