Active NPI
Marie Baybay
- Nurse Practitioner
- Fresno, CA
National Provider Identifier
1639749773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AG12200040
- Practice address
- 7035 N Maple Ave
Fresno, CA 93720-8027 - Phone
- (559) 299-2997
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | AG12200040 | CA | |
| Nurse Practitioner | 363L00000X | AG12200040 | CA | Primary |
Addresses
Primary practice location
7035 N Maple Ave
Fresno, CA 93720-8027
Mailing address
PO Box 28949
Fresno, CA 93729-8949
Other practice location 1
7035 N Maple Ave Ste 102A
Fresno, CA 93720-8026
Phone (559) 472-3831
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG12200040 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1639749773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28949",
"city": "FRESNO",
"state": "CA",
"postal_code": "937298949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7035 N MAPLE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937208027",
"telephone_number": "559-299-2997"
}
],
"practiceLocations": [
{
"address_1": "7035 N Maple Ave Ste 102A",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937208026",
"country_code": "US",
"telephone_number": "559-472-3831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAYBAY",
"first_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "CA",
"license": "AG12200040",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "AG12200040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Jacob Baxter
- Karan Baxter
- Kyle Baxter, DPT
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- Roya Bayat-Makoui, LPCC
- Bayrakdarian Cedar, D.M.D., Inc., a Professional Dental Corporation
- Ishkhan John Bayrakdarian, DMD
- Baysal Orthopedic Institute Incorporated
- Baz Allergy, Asthma & Sinus Center, Inc.
- Baz Allergy, Asthma & Sinus Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.