Active NPI
Lita S. Bahe, RN
- Registered Nurse
- Teec Nos Pos, AZ
National Provider Identifier
1871779959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 063487
- Practice address
- JCT. US Hwy 160 & Navajo Route 35 - Red Mesa
Teec Nos Pos, AZ 86514 - Phone
- (928) 656-5000
- Fax
- (928) 656-5164
- NPI assigned
- Jan 18, 2008
- Last updated
- Jun 14, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 063487 | AZ | Primary |
Addresses
Primary practice location
JCT. US Hwy 160 & Navajo Route 35 - Red Mesa
Teec Nos Pos, AZ 86514
Mailing address
HCR 6100 Box
Teec Nos Pos, AZ 86514
Phone (928) 656-5001
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063487 | AZ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276473600000",
"number": "1871779959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HCR 6100 BOX",
"city": "TEEC NOS POS",
"state": "AZ",
"postal_code": "86514",
"telephone_number": "928-656-5001",
"fax_number": "928-656-5164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JCT. US HWY 160 & NAVAJO ROUTE 35 - RED MESA",
"city": "TEEC NOS POS",
"state": "AZ",
"postal_code": "86514",
"telephone_number": "928-656-5000",
"fax_number": "928-656-5164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHE",
"first_name": "LITA",
"middle_name": "S.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-18",
"last_updated": "2010-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "063487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teec Nos Pos, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.