Individual provider Active NPI

Bailey Lynne Martin

  • Nurse Practitioner
  • Freeport, TX
National Provider Identifier
1346998705
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1072680 Issued in TX
Practice address
2301 N Brazosport Blvd BLDG B-1820
Freeport, TX 77541-3203
Phone
(979) 238-5411
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1072680 TX Primary

Addresses

Primary practice location

2301 N Brazosport Blvd BLDG B-1820
Freeport, TX 77541-3203

Mailing address

2301 N Brazosport Blvd BLDG B-1820
Freeport, TX 77541-3203
Phone (979) 238-5411

Other practice location 1

600 N Kobayashi Ste 208
Webster, TX 77598-4841
Phone (281) 724-8180

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

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1346998705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N BRAZOSPORT BLVD BLDG B-1820",
            "city": "FREEPORT",
            "state": "TX",
            "postal_code": "775413203",
            "telephone_number": "979-238-5411",
            "fax_number": "800-637-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N BRAZOSPORT BLVD BLDG B-1820",
            "city": "FREEPORT",
            "state": "TX",
            "postal_code": "775413203",
            "telephone_number": "979-238-5411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Kobayashi Ste 208",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984841",
            "country_code": "US",
            "telephone_number": "281-724-8180",
            "fax_number": "281-336-1171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BAILEY",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1072680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.