Active NPI
Phuong Quyen Thi Dinh-Bailey, FNP
- Family Nurse Practitioner
- Trinity, FL
National Provider Identifier
1043968209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9339067
- Practice address
- 1818 Short Branch Dr Ste 102
Trinity, FL 34655-4425 - Phone
- (727) 332-0028
- NPI assigned
- Mar 16, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9339067 | FL | Primary |
Addresses
Primary practice location
1818 Short Branch Dr Ste 102
Trinity, FL 34655-4425
Mailing address
1829 Sumac CT
Trinity, FL 34655-4977
Phone (727) 278-9893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3825 Countryside Blvd N
Palm Harbor, FL 34684-4928
Phone (727) 784-2848
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9339067 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gi Health Specialists of Florida LLC | Current | Accepting new patients |
Locations
3825 Countryside Blvd N
Palm Harbor, FL 34684
Phone (727) 781-1402
12191 W Linebaugh Ave
Westchase, FL 33626
Phone (813) 900-7246
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Palm Harbor, FL
- NPI 1386406536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1043968209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1829 SUMAC CT",
"city": "TRINITY",
"state": "FL",
"postal_code": "346554977",
"telephone_number": "727-278-9893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 SHORT BRANCH DR STE 102",
"city": "TRINITY",
"state": "FL",
"postal_code": "346554425",
"telephone_number": "727-332-0028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINH-BAILEY",
"first_name": "PHUONG QUYEN",
"middle_name": "THI",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-16",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9339067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.