Individual provider Active NPI

Bailey Devenport, CPNP-PC

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1457049207
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
289342 Issued in AZ
Practice address
4735 E Union Hills Dr
Phoenix, AZ 85050-3362
Phone
(602) 971-5121
Fax
(602) 242-6945
NPI assigned
Apr 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 289342 AZ Primary

Addresses

Primary practice location

4735 E Union Hills Dr
Phoenix, AZ 85050-3362

Mailing address

4735 E Union Hills Dr
Phoenix, AZ 85050-3362
Phone (602) 971-5121

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
289342AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Pediatrics LTD Pediatrics CurrentSince Nov 22, 2008 Accepting new patients
North Scottsdale Pediatric Associates Pediatrics PastSince Nov 1, 2023 Accepting new patients
Arbor Medical Partners, LLC Pediatrics Past Accepting new patients

Locations

4434 N 12th St
Phoenix, AZ 85014
Phone (602) 242-5121

4735 E Union Hills Dr
Phoenix, AZ 85050
Phone (602) 242-5121

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1457049207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 E UNION HILLS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503362",
            "telephone_number": "602-971-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 E UNION HILLS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503362",
            "telephone_number": "602-971-5121",
            "fax_number": "602-242-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVENPORT",
        "first_name": "BAILEY",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "289342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.