Nickeesha Bailey, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

347040 Issued in NY

Practice address

45 Elm St
New Rochelle, NY 10805-2402

Phone

(917) 653-8067

NPI assigned

Dec 18, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1215523683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ELM ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108052402",
            "telephone_number": "917-653-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ELM ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108052402",
            "telephone_number": "917-653-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "NICKEESHA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baby Masterminds Inc.
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• Baek Physical Therapy & Wellness
• Jennifer Gail Bagg, MD
• Zivia Bairey, CREATIVE A T SOC WKR
• Barbara Leis Baker
• Lauren Baker
• Linda A Baker, M.S.E.D.
• Melva Lenora Baker, D.P.M.

• Family Nurse Practitioner in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.

Verify at the official NPI Registry.