Individual provider Active NPI

Nekisha Bailey, DNP,PMHNP-BC,FNP-C

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1235795451
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704268566 Issued in MI
Practice address
2995 E Grand Blvd
Detroit, MI 48202-3133
Phone
(313) 758-0150
Fax
(313) 758-0255
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704268566 MI Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704268566 MI

Addresses

Primary practice location

2995 E Grand Blvd
Detroit, MI 48202-3133

Mailing address

7501 Parkland
Detroit, MI 48239-1079
Phone (313) 768-8053

Other practice location 1

34290 Ford Rd
Westland, MI 48185-3051
Phone (888) 813-8326

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
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
4704268566MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sam Total Wellness Solutions, LLC. Family Current Accepting new patients
Black Family Development, Inc. PastSince Nov 8, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nekisha.bailey.1@32859.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1235795451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 PARKLAND",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482391079",
            "telephone_number": "313-768-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 E GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023133",
            "telephone_number": "313-758-0150",
            "fax_number": "313-758-0255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34290 Ford Rd",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481853051",
            "country_code": "US",
            "telephone_number": "888-813-8326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "NEKISHA",
        "credential": "DNP,PMHNP-BC,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704268566",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704268566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.