Idefy Medical Aesthetics LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP10272 Issued in AZ

Legal business name

IDEFY MEDICAL AESTHETICS LLC

Practice address

1324 N Farrell CT Ste 109
Gilbert, AZ 85233-1945

Phone

(480) 414-8941

NPI assigned

Aug 15, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Bethany Lynn Jameson, FNP

Title

Owner/Ceo

Phone

(480) 414-8941

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696723200000",
    "number": "1649796343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22620 S 178TH PL",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852988934",
            "telephone_number": "480-414-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 N FARRELL CT STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331945",
            "telephone_number": "480-414-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEFY MEDICAL AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2023-10-08",
        "certification_date": "2023-10-08",
        "status": "A",
        "authorized_official_last_name": "JAMESON",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "480-414-8941",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2023; 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.