Individual provider Active NPI

Nirva M Jean-Baptiste, A.M.H.N.P

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1407279771
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP5352 Issued in AZ
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
889790MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150122000480 AZ Practitioner - Nurse Practitioner 3577887553 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chicanos Por la Causa Inc Current Accepting new patients
Chicanos Por la Causa, Inc CurrentSince Feb 5, 2018 Accepting new patients
Neuro Focus Center-West CurrentSince Apr 1, 2018 Accepting new patients
Southeastern Arizona Behavioral Health Services, Inc. Current Accepting new patients
Neuro Focus Center LLC CurrentSince Apr 1, 2018 Accepting new patients
Southeastern Arizona Behavioral Health Services CurrentSince Sep 16, 2022 Accepting new patients
Southeastern Arizona Behavioral Health Service, Inc CurrentSince Sep 16, 2022 Accepting new patients
Az Sober Living & Behavioral Health Group, LLC PastSince Jul 24, 2022 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.

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

Verify at the official NPI Registry.