Bailey Danielle Mazur, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2022040740 Issued in MO

Practice address

635 Woodland Ave
Kansas City, MO 64106-1511

Phone

(816) 513-4600

NPI assigned

May 22, 2023

Last updated

May 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Life Extension Clinics, Inc

  dba Life Scan Wellness Centers

  • General Practice Registered Nurse
  • Tampa, FL
  • NPI 1376869073
  NPD (past)

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1649962424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075126",
            "telephone_number": "813-876-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 WOODLAND AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641061511",
            "telephone_number": "816-513-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUR",
        "first_name": "BAILEY",
        "middle_name": "DANIELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022040740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Zellmer Mays, M.S., C.G.C
• Marquita Mays, D.D.S
• Sarah Mays, LMSW
• Aiyana Maze
• Bradley Thomas Mazer, PSY.D.
• Biagio D. Mazza, P.T.
• Chijioke Francisca Mbah, APRN, PMHNP-BC
• MBSS Counseling Group LLC
• Lydiah Mbwiria
• Amazair McAllister III, M.D.

• Family Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.