Tamaca Bailey, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043111466 Issued in IL

Practice address

805 E Burkwood Dr
Urbana, IL 61801-5911

Phone

(217) 298-8790

NPI assigned

Aug 14, 2025

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1376429324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E BURKWOOD DR",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618015911",
            "telephone_number": "217-298-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E BURKWOOD DR",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618015911",
            "telephone_number": "217-298-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "TAMACA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043111466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umakanth Avula
• Nazanin Azarvash, MD
• Irum Azim, M.D.
• Eric Baddour, M.D.
• Jonathan S Bailey, DMD, MD
• Ronald Baker, CRNA
• Julia K Balikian, PA
• Hannah M Balow
• Krisandra Banet
• Thomas Bangert

• Licensed Practical Nurse in Urbana, IL
• Providers in Urbana, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.