Bailie Shaffer

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1073332 Issued in TX

Practice address

815 Lake Air Dr
Waco, TX 76710-5756

Phone

(254) 269-3099

NPI assigned

Jul 28, 2026

Last updated

Aug 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1467374934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 HERITAGE PKWY",
            "city": "AXTELL",
            "state": "TX",
            "postal_code": "766241108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 LAKE AIR DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105756",
            "telephone_number": "254-269-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "BAILIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1073332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alcario Serros III, DO
• Serve All Medical Waco, PLLC (Clinic Hispana)
• Maria Rose Sevidal, NP
• Angela Sewell
• Abdelrahman Shaban
• Aman A Shah, M.D.
• Mandy Shah, M.D.
• Pratik R Shah
• Ruchir Shah, MD
• Kallie Shajari

• Pediatric Nurse Practitioner in Waco, TX
• Providers in Waco, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.