Bjd Inc
NPI 1255976403ActiveOrganization· Nurse Practitioner, Family· Yuma, AZ
Nurse Practitioner, Family in Yuma, Arizona, registered in NPPES in November 2019. The authorized official on file is Jennivyr Derakhshan, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255976403 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 12, 2019 |
| Last updated in NPPES | Sep 13, 2024 |
| Certified by provider | Sep 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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