Active NPI
Bailey Lawrence, RN
- Registered Nurse
- Palm Beach Gardens, FL
National Provider Identifier
1457071557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- GA30102
- Practice address
- 11770 US Highway 1 Ste N107
Palm Beach Gardens, FL 33408-3027 - Phone
- (561) 815-2427
- NPI assigned
- Aug 30, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | GA30102 | GA | Primary |
Addresses
Primary practice location
11770 US Highway 1 Ste N107
Palm Beach Gardens, FL 33408-3027
Mailing address
11770 US Highway 1 Ste N107
Palm Beach Gardens, FL 33408-3027
Phone (561) 815-2427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GA30102 | Other | GA | GA BOARD OF NURSING |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA30102 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longevity Long Term Medical Care of Pennsylvania PLLC | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Harrisburg, PA
- NPI 1720796196
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1457071557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11770 US HIGHWAY 1 STE N107",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334083027",
"telephone_number": "561-815-2427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11770 US HIGHWAY 1 STE N107",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334083027",
"telephone_number": "561-815-2427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "BAILEY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "GA",
"license": "GA30102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA BOARD OF NURSING",
"identifier": "GA30102",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.