Active NPI
Patricia M. Bailey, MS, FNP-BC
- Family Nurse Practitioner
- National City, CA
National Provider Identifier
1255322673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 17106
- Practice address
- 1428 Highland Ave
Operation Samahan
National City, CA 91950-4624 - Phone
- (619) 477-4450
- NPI assigned
- Nov 3, 2005
- 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 | 17106 | CA | Primary |
Addresses
Primary practice location
1428 Highland Ave
Operation Samahan
National City, CA 91950-4624
Mailing address
8437 Via Mallorca Unit 83
La Jolla, CA 92037-2612
Phone (619) 417-3747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133144 | Other | OR | GROUP PIN |
Other names 1
- Ms. Patricia M. Glidden
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, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17106 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yachats Community Health Clinic | Past | Accepting new patients |
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.
-
- Rural Health Clinic/Center
- Yachats, OR
- NPI 1013947498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448928000000",
"number": "1255322673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8437 VIA MALLORCA UNIT 83",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920372612",
"telephone_number": "619-417-3747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 HIGHLAND AVE",
"address_2": "OPERATION SAMAHAN",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919504624",
"telephone_number": "619-477-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "PATRICIA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "MS, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-03",
"last_updated": "2015-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "17106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PIN",
"identifier": "133144",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "GLIDDEN",
"middle_name": "M.",
"prefix": "MS.",
"credential": "MS, FNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.