Active NPI
Bailey Jo Bartlome, CNP
- Family Nurse Practitioner
- Boise, ID
National Provider Identifier
1487473237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1761471
- Practice address
- 3003 W Main St Ste 110
Boise, ID 83702-2026 - Phone
- (208) 954-2359
- Fax
- (208) 214-0300
- NPI assigned
- Oct 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1761471 | ID | Primary |
Addresses
Primary practice location
3003 W Main St Ste 110
Boise, ID 83702-2026
Mailing address
PO Box 141
Homedale, ID 83628-0141
Phone (208) 869-8172
Other practice location 1
4210 Homestead Rd
Homedale, ID 83628-3645
Phone (208) 869-8172
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
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1761471 | ID | MD | Family Nurse Practitioner |
Interoperability endpoints
- bailey.bartlome@1020108778635268.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1487473237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 141",
"city": "HOMEDALE",
"state": "ID",
"postal_code": "836280141",
"telephone_number": "208-869-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 W MAIN ST STE 110",
"city": "BOISE",
"state": "ID",
"postal_code": "837022026",
"telephone_number": "208-954-2359",
"fax_number": "208-214-0300"
}
],
"practiceLocations": [
{
"address_1": "4210 Homestead Rd",
"address_purpose": "LOCATION",
"city": "Homedale",
"state": "ID",
"postal_code": "836283645",
"country_code": "US",
"telephone_number": "208-869-8172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARTLOME",
"first_name": "BAILEY",
"middle_name": "JO",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-08",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "1761471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.