Individual provider Active NPI

Bailey Smithey Barrineau, NP

  • Nurse Practitioner
  • Walterboro, SC
National Provider Identifier
1467050138
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
24351 Issued in SC
Practice address
873 Robertson Blvd
Walterboro, SC 29488-3082
Phone
(843) 542-9535
Fax
(843) 542-9675
NPI assigned
Oct 14, 2020
Last updated
May 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 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 24351 SC Primary

Addresses

Primary practice location

873 Robertson Blvd
Walterboro, SC 29488-3082

Mailing address

873 Robertson Blvd
Walterboro, SC 29488-3082
Phone (843) 542-9535

Other identifiers 1

IdentifierTypeStateIssuer
24351OtherSCSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Walterboro Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210527002208 SC Practitioner - Nurse Practitioner 0446659247 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
24351SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Walterboro CurrentSince Jan 12, 2021 Accepting new patients
Internal Medicine of Walterboro, LLC PastSince Oct 1, 2020 Accepting new patients

Locations

873 Robertson Blvd
Walterboro, SC 29488
Phone (843) 542-9535

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDIDAD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1467050138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 ROBERTSON BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294883082",
            "telephone_number": "843-542-9535",
            "fax_number": "843-542-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 ROBERTSON BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294883082",
            "telephone_number": "843-542-9535",
            "fax_number": "843-542-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRINEAU",
        "first_name": "BAILEY",
        "middle_name": "SMITHEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "24351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "24351",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Walterboro",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "873 Robertson Blvd",
            "city": "Walterboro",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294883082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

Verify at the official NPI Registry.