Active NPI
Pamela K. Bailey, N.P.
- Pediatric Nurse Practitioner
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024166965
- Practice address
- 1204 W Main St
Charlottesville, VA 22903-2824 - Phone
- (434) 924-0123
- Fax
- (434) 243-3300
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- No
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024166965 | VA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current | Accepting new patients |
Locations
1204 W Main St
Charlottesville, VA 22903
Phone (434) 924-0123
500 Ray C Hunt Dr
Charlottesvle, VA 22903
Phone (434) 924-2224
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
629 Cedar Creek Grade
Ste B
Winchester, VA 22601
Phone (540) 678-3950
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0024166965 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1204 W Main St
Charlottesville, VA 22903-2824
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Other practice location 1
629 Cedar Creek Grade Ste B
Winchester, VA 22601-2786
Phone (540) 678-3950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2021.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1154490308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 W MAIN ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229032824",
"telephone_number": "434-924-0123",
"fax_number": "434-243-3300"
}
],
"practiceLocations": [
{
"address_1": "629 Cedar Creek Grade Ste B",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "VA",
"postal_code": "226012786",
"country_code": "US",
"telephone_number": "540-678-3950",
"fax_number": "540-678-3954",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "PAMELA",
"middle_name": "K.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024166965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.