Susan M Bailey, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704216119 Issued in MI

Practice address

2781 Pilot Knob Rd
Eagan, MN 55121

Phone

(651) 251-5132

Fax

(651) 251-5111

NPI assigned

May 27, 2008

Last updated

Aug 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shifa Mental Health Services PLLC

  • Psychiatry Physician
  • Eagan, MN
  • NPI 1366877243
  NPD
• Age Management of West Michigan PC

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1558700625
  NPD (past)
• Ahsl Holland Operations, LLC

  • Assisted Living Facility
  • Holland, MI
  • NPI 1770987349
  NPD (past)
• Platinum Living LLC

  • Assisted Living Facility
  • Hudsonville, MI
  • NPI 1588094775
  NPD (past)

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1255599288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 PILOT KNOB RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211119",
            "telephone_number": "651-251-5132",
            "fax_number": "651-251-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 PILOT KNOB RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55121",
            "telephone_number": "651-251-5132",
            "fax_number": "651-251-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704216119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samual Lee Bach, DDS
• Back & Body Chiropractic
• Jessica Marie Backowski
• Precious Oluwabukaunmi Badejo
• Michael R Baer, M.D.
• Baker Chiropractic, LLC
• Jean Baker-McLaughlin, L.AC.
• Grace A Baker, PA-C
• John Keith Baker, RPH
• Morgan Jean Baker, DC

• Family Nurse Practitioner in Eagan, MN
• Providers in Eagan, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.