Active NPI
Bailey Lynne Martin
- Nurse Practitioner
- Freeport, TX
National Provider Identifier
1346998705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1072680
- 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
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 |
|---|---|---|---|---|
| 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.