Individual provider Active NPI

Hyacinth Bailey

  • Licensed Practical Nurse
  • Mastic, NY
National Provider Identifier
1013380971
Registry record updated Nov 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
2646991 Issued in NY
Practice address
126 Patchogue Ave
Mastic, NY 11950-3623
Phone
(631) 504-8833
NPI assigned
Nov 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2646991 NY Primary

Addresses

Primary practice location

126 Patchogue Ave
Mastic, NY 11950-3623

Mailing address

126 Patchogue Ave
Mastic, NY 11950-3623

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

State licenses

LicenseStateTypeSpecialty
2646991NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1446336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446336000000",
    "number": "1013380971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PATCHOGUE AVE",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119503623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PATCHOGUE AVE",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119503623",
            "telephone_number": "631-504-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "HYACINTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-01",
        "last_updated": "2015-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2646991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mastic, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.