Bailey Tomazich

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

60507 Issued in ID

Practice address

1075 N Curtis Rd.
St 100
Boise, ID 83706

Phone

(208) 377-5166

NPI assigned

Nov 1, 2022

Last updated

Nov 1, 2022By 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

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Cheryl Fish, NP

  • Nurse Practitioner
  • Meridian, ID
  • NPI 1083185235
  Medicare reassignment
• Legacy Primary Care, PLLC

  • Family Medicine Physician
  • Sherman, TX
  • NPI 1255907473
  NPD (past)

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1871200758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 N CURTIS RD.",
            "address_2": "ST 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 N CURTIS RD.",
            "address_2": "ST 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-377-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMAZICH",
        "first_name": "BAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "60507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian James Tollinger, PHARM.D.
• Stacy Rae Tolliver, LCSW
• Christine Tolman, LCPC
• David Tomaselli
• Nicole Tomaselli
• Alysa Lei Marie Tominaga, PHARMD
• Jason Andrew Tominaga
• Layne Thomas Tominaga, PHARMD
• Kelsey Tomita, CSFA
• Tomorrow's Hope Inc

• Family Nurse Practitioner in Boise, ID
• Providers in Boise, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.