Active NPI
Nirva M Jean-Baptiste, A.M.H.N.P
- Psychiatric/Mental Health Nurse Practitioner
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP5352
- Practice address
- 1111 S Stapley Dr
Mesa, AZ 85204-5059 - Phone
- (602) 685-6000
- Fax
- (480) 834-5703
- NPI assigned
- Jan 22, 2014
- Last updated
- Jun 22, 2015
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP5352 | AZ | Primary |
Addresses
Primary practice location
1111 S Stapley Dr
Mesa, AZ 85204-5059
Mailing address
3003 N Central Ave Ste 200
Phoenix, AZ 85012-2914
Phone (602) 685-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 889790 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicanos Por la Causa Inc | Current | Accepting new patients | |
| Chicanos Por la Causa, Inc | Current | Accepting new patients | |
| Neuro Focus Center-West | Current | Accepting new patients | |
| Southeastern Arizona Behavioral Health Services, Inc. | Current | Accepting new patients | |
| Neuro Focus Center LLC | Current | Accepting new patients | |
| Southeastern Arizona Behavioral Health Services | Current | Accepting new patients | |
| Southeastern Arizona Behavioral Health Service, Inc | Current | Accepting new patients | |
| Az Sober Living & Behavioral Health Group, LLC | Past | Accepting new patients |
Locations
470 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-7080
590 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-6177
611 W Union St
Benson, AZ 85602
Phone (520) 586-0800
310 S Extension Rd
Mesa, AZ 85210
Phone (480) 615-3800
325 N Stapley Dr
Mesa, AZ 85203
Phone (480) 615-3800
5416 E Southern Ave
Ste 106
Mesa, AZ 85206
Phone (480) 632-2301
1112 E Buckeye Rd
Phoenix, AZ 85034
2920 N 24th Ave
Phoenix, AZ 85015
Phone (623) 302-9213
2920 N 24th Ave
Ste 120
Phoenix, AZ 85015
Phone (623) 302-9213
3639 W Lincoln St
Phoenix, AZ 85009
Phone (602) 233-9747
6850 W Indian School Rd
Phoenix, AZ 85033
Phone (623) 247-0464
Organizations & group practices 8
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1255416103
-
- Clinic/Center
- Gilbert, AZ
- NPI 1790075208
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1487024543
-
- Clinic/Center
- Phoenix, AZ
- NPI 1558731794
-
- Community/Behavioral Health Agency
- Douglas, AZ
- NPI 1932620390
-
dba SEABHS- Clifton Outpatient
- Community/Behavioral Health Agency
- Clifton, AZ
- NPI 1902993470
-
dba Benson Outpatient Treatment Center
- Community/Behavioral Health Agency
- Benson, AZ
- NPI 1760830137
-
- Psychiatry Physician
- Phoenix, AZ
- NPI 1538683081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434931200000",
"number": "1407279771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 N CENTRAL AVE STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122914",
"telephone_number": "602-685-6000",
"fax_number": "602-685-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S STAPLEY DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852045059",
"telephone_number": "602-685-6000",
"fax_number": "480-834-5703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN-BAPTISTE",
"first_name": "NIRVA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "A.M.H.N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-22",
"last_updated": "2015-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP5352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "889790",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.