Mavis M Bailey

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

338877 Issued in NY

Practice address

11 Lincoln Rd
Hempstead, NY 11550-5213

Phone

(516) 385-5581

NPI assigned

Dec 17, 2009

Last updated

Apr 17, 2020By the provider in NPPES

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

Other names 1

• Mavis M Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mavis.bailey.1@24989.direct.athenahealth.com

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

• Forest Hills Dermatology Group PLLC

  • Dermatology Physician
  • Kew Gardens, NY
  • NPI 1225309586
  NPD
• RLD Medical Services, PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1609986934
  NPD
• Start Treatment & Recovery Centers Inc

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1750559712
  NPD
• Startcare, Inc.

  • Mental Health Counselor
  • New York, NY
  • NPI 1235674409
  NPD
• Startcare, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1295787661
  NPD

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1083943286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 DUMONT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112075017",
            "telephone_number": "718-385-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LINCOLN RD",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115505213",
            "telephone_number": "516-385-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MAVIS",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "338877",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "622224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAVIS",
            "last_name": "SMITH",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erlieta Austein, RN
• Mercillina Awanyai
• Temitope Ayodele
• Maxine Priestley Babb, SLP
• Joseph Gerald Bacigalupo, DDS
• Clara Katrina Balamban, PT, DPT
• Daryl Balano
• Nathalie Baldomer, LPN
• Kimberly Balgobin
• Delisa Marie Banks, PHYSICIANS ASSISTANT

• Nurse Practitioner in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.