Sage Lyle Bailey, DNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

114874 Issued in NE

Practice address

3867 Leavenworth St
Omaha, NE 68105-1113

Phone

(303) 720-3899

NPI assigned

Jul 14, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sage Lyle Trehearne Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1265111348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 LINCOLN RD",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052330",
            "telephone_number": "303-720-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3867 LEAVENWORTH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051113",
            "telephone_number": "303-720-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "SAGE",
        "middle_name": "LYLE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NE",
            "license": "114874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAGE",
            "last_name": "TREHEARNE",
            "middle_name": "LYLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Bailey
• Lisa Bailey
• Morgan Bailey, PTA
• Richard E Bailey III, PA
• Ryan Bailey
• Sara Bailey
• Sara Bailey, DDS
• Sheldon D Bailey
• Stephanie Bailey
• Steven T Bailey, M.D.

• Acute Care Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Acute Care Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.