Active NPI
Michelle Christine Bailey, RN, CS, FNP
- Family Nurse Practitioner
- Bozeman, MT
National Provider Identifier
1134546781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21703
- Practice address
- 915 Highland Blvd
Bozeman, MT 59715-6902 - Phone
- (406) 414-5546
- NPI assigned
- Mar 20, 2014
- Last updated
- Mar 10, 2020
- 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 | 21703 | MT | Primary |
Addresses
Primary practice location
915 Highland Blvd
Bozeman, MT 59715-6902
Mailing address
64 Lamplight Dr
Bozeman, MT 59718-7245
Phone (406) 585-1018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134546781 | Medicaid | MT |
Other names 1
- Ms. Michelle Christine Moran Bailey
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)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21703 | MT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1134546781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 LAMPLIGHT DR",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597187245",
"telephone_number": "406-585-1018",
"fax_number": "406-522-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 HIGHLAND BLVD",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156902",
"telephone_number": "406-414-5546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "MICHELLE",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "RN, CS, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-20",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "21703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134546781",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "MORAN BAILEY",
"middle_name": "CHRISTINE",
"prefix": "MS.",
"credential": "RN, CS, FNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.