Individual provider Active NPI

Jean Domantay Bayabos, FNP-C

  • Family Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1518522291
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141537 Issued in TX
Practice address
1700 W Dove Ave Ste 80
McAllen, TX 78504-4464
Phone
(956) 467-5920
NPI assigned
May 7, 2019
Last updated
May 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2019

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 AP141537 TX Primary

Addresses

Primary practice location

1700 W Dove Ave Ste 80
McAllen, TX 78504-4464

Mailing address

2821 Northgate LN
McAllen, TX 78504-6252
Phone (361) 774-1526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210617001556 TX Practitioner - Nurse Practitioner 0749680445

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Wellness Center LLC Past Accepting new patients
Access Esperanza Clinics Inc. Past Accepting new patients
Access Esperanza Clinics Inc. Past Accepting new patients
Access Esperanza Clinics Inc. Single Specialty Past Accepting new patients
Access Esperanza Clinics Inc. Past Accepting new patients

Organizations & group practices 5

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": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1518522291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 NORTHGATE LN",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046252",
            "telephone_number": "361-774-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W DOVE AVE STE 80",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044464",
            "telephone_number": "956-467-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYABOS",
        "first_name": "JEAN",
        "middle_name": "DOMANTAY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.