Individual provider Active NPI

Cami Elizabeth Bailey, FNP-BC

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1497413074
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30095 Issued in TN
Practice address
2158 Northgate Park LN Ste 300
Chattanooga, TN 37415-6959
Phone
(309) 287-4128
NPI assigned
Dec 1, 2021
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30095 TN Primary

Addresses

Primary practice location

2158 Northgate Park LN Ste 300
Chattanooga, TN 37415-6959

Mailing address

173 Integra Vistas Dr Apt 403
Hixson, TN 37343-5395
Phone (309) 287-4128

Other names 1

  • Cami Elizabeth Westfall Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220222000068 TN Practitioner - Nurse Practitioner 4587058318 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30095TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Women's Health Specialists CurrentSince Nov 16, 2021 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Sep 26, 2022 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Sep 26, 2022 Accepting new patients

Locations

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

Interoperability endpoints

  • Direct secure messaging: cami.bailey.1@12804.direct.athenahealth.com

Organizations & group practices 3

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": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1497413074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 INTEGRA VISTAS DR APT 403",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435395",
            "telephone_number": "309-287-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 NORTHGATE PARK LN STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156959",
            "telephone_number": "309-287-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CAMI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMI",
            "last_name": "WESTFALL",
            "middle_name": "ELIZABETH",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.