Individual provider Active NPI

Bailey Jo Bartlome, CNP

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1487473237
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1761471 Issued in ID
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

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1761471IDMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.