Active NPI
Mary Chalice Bailey-More, CCP
- Perfusionist
- Bellaire, TX
National Provider Identifier
1396405403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- License
- FPF00000049
- Practice address
- 4515 Palmetto St
Bellaire, TX 77401-3709 - Phone
- (713) 302-0745
- NPI assigned
- Dec 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Perfusionist | 242T00000X | FPF00000049 | TX | Primary |
Addresses
Primary practice location
4515 Palmetto St
Bellaire, TX 77401-3709
Mailing address
4515 Palmetto St
Bellaire, TX 77401-3709
Phone (713) 302-0745
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FPF00000049 | TX | MD | Perfusionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1396405403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 PALMETTO ST",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774013709",
"telephone_number": "713-302-0745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 PALMETTO ST",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774013709",
"telephone_number": "713-302-0745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY-MORE",
"first_name": "MARY",
"middle_name": "CHALICE",
"credential": "CCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-30",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": "TX",
"license": "FPF00000049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.