Jamil Marie Bayless, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

221446 Issued in AZ

Practice address

3620 N 3Rd St
Phoenix, AZ 85012-2020

Phone

(602) 230-7373

NPI assigned

Jan 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AHHIDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Denova Collaborative Health, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1609300854

  AZ

  Medicare reassignment NPD
• Mobileonedocs, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Scottsdale, AZ
  • NPI 1629424379

  AZ

  Medicare reassignment NPD
• Mulberry Medical LLC

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1831980986

  AZ

  Medicare reassignment NPD
• Fiesta Health Services LLC

  • Physical Medicine & Rehabilitation Physician
  • Mesa, AZ
  • NPI 1518382787

  AZ

  Medicare reassignment
• Denova Collaborative Health, LLC

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1124549043
  NPD
• Denova Collaborative Health, LLC

  • Multi-Specialty Clinic/Center
  • Peoria, AZ
  • NPI 1740079060
  NPD
• Mobileonedocs, LLC

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1740858950

  Family

  NPD
• Plastic and Peripheral Nerve Surgery LLC

  • Plastic and Reconstructive Surgery Physician
  • Sun Lakes, AZ
  • NPI 1760044325
  NPD (past)

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1952865610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122020",
            "telephone_number": "602-230-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122020",
            "telephone_number": "602-230-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLESS",
        "first_name": "JAMIL",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "221446",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "221446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayada Home Health Care, Inc.
• Saeb Bayazid, MD
• Jennifer M Bayer, DDS
• Debra Gregory Bayham, PA
• Mellissa Leone Bayles, PT, MPT
• Patricia Bayless, MD
• Parrish Baylis
• Bayoh Behavioral Health Services LLC
• Ryan Nicholas Bays, PT,DPT
• Mary Mendien Baysah

• All providers in Phoenix, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.