Active NPI
Shawntey I Bailey-Hudson
- Adult Health Nurse Practitioner
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F307638
- Practice address
- 5075 W Seneca Tpke
Syracuse, NY 13215-3216 - Phone
- (888) 256-3814
- NPI assigned
- Jun 17, 2024
- Last updated
- Jul 24, 2024
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F307638 | NY | Primary |
Addresses
Primary practice location
5075 W Seneca Tpke
Syracuse, NY 13215-3216
Mailing address
1100 NW South Outer Rd Ste 200
Blue Springs, MO 64015-3069
Phone (888) 256-3814
Other practice location 1
10976 209th Pl
Queens Village, NY 11429-1763
Phone (347) 423-9337
Other practice location 2
1100 NW South Outer Rd Ste 200
Blue Springs, MO 64015-3069
Phone (888) 256-3814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10421 State Route 40
Granville, NY 12832-5713
Phone (443) 383-9300
67 Springvale Rd
Croton on Hudson, NY 10520-1343
Phone (443) 383-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York State Medical Health Services PC | Current | Accepting new patients | |
| Senf NP Family Medicine PLLC | Current | Accepting new patients | |
| Wound Care Plus, LLC | Current | Accepting new patients |
Locations
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
1100 NW South Outer Rd
Ste 200
Blue Springs, MO 64015
Phone (888) 256-3514
4240 Blue Ridge Blvd
Ste 530
Kansas City, MO 64133
Phone (816) 291-4601
67 Springvale Rd
Croton on Hudson, NY 10520
Phone (914) 739-6700
301 Nantucket Dr
Endicott, NY 13760
Phone (607) 754-2700
11126 Corona Ave
Flushing, NY 11368
Phone (718) 592-6400
7144 Yellowstone Blvd
Forest Hills, NY 11375
Phone (718) 544-4300
10421 State Route 40
Ste 300
Granville, NY 12832
301 Mill Rd
Ste U5
Hewlett, NY 11557
5075 W Seneca Tpke
Syracuse, NY 13215
Phone (315) 435-5511
50 Main St
Ste 1000
White Plains, NY 10606
Phone (914) 216-7550
50 Main St
Ste 10000
White Plains, NY 10606
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Surgery Physician
- White Plains, NY
- NPI 1053173872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1093558256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 NW SOUTH OUTER RD STE 200",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153069",
"telephone_number": "888-256-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5075 W SENECA TPKE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132153216",
"telephone_number": "888-256-3814"
}
],
"practiceLocations": [
{
"address_1": "10976 209th Pl",
"address_purpose": "LOCATION",
"city": "Queens Village",
"state": "NY",
"postal_code": "114291763",
"country_code": "US",
"telephone_number": "347-423-9337",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 NW South Outer Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Blue Springs",
"state": "MO",
"postal_code": "640153069",
"country_code": "US",
"telephone_number": "888-256-3814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY-HUDSON",
"first_name": "SHAWNTEY",
"middle_name": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F307638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.