Individual provider Active NPI

Carol Bafaloukos

  • Women's Health Clinical Nurse Specialist
  • Phoenix, AZ
National Provider Identifier
1750552162
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X
License
RN083182 Issued in AZ
Practice address
5651 N 7TH St
Phoenix, AZ 85014-2500
Phone
(602) 263-4274
NPI assigned
Mar 13, 2008
Last updated
Mar 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Clinical Nurse Specialist 364SW0102X RN083182 AZ Primary

Addresses

Primary practice location

5651 N 7TH St
Phoenix, AZ 85014-2500

Mailing address

5651 N 7TH St
Phoenix, AZ 85014-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20201019002833 AZ Practitioner - Nurse Practitioner 2961827639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Continence Center of America IncGroup PAC ID 6406834886, 3 clinicians

Practice addresses (Care Compare)

13000 N 103Rd Ave
Suite 73
Sun City, AZ 85351-3056
Phone (623) 977-1212

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Continence Center of America Inc Nurse Practitioner CurrentSince Sep 8, 2020 Accepting new patients
Planned Parenthood Arizona PastSince Apr 27, 2025 Accepting new patients
Planned Parenthood Arizona Past Accepting new patients
Planned Parenthood Arizona PastSince May 1, 2021 Accepting new patients

Locations

2830 E Brown Rd
Ste 12
Mesa, AZ 85213
Phone (480) 844-0335

2830 E Brown Rd
Ste C12
Mesa, AZ 85213
Phone (623) 977-1212

13000 N 103rd Ave
Ste 73
Sun City, AZ 85351
Phone (623) 972-7237

Organizations & group practices 4

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": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1750552162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142500",
            "telephone_number": "602-263-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAFALOUKOS",
        "first_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "AZ",
            "license": "RN083182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.