Active NPI
Laura Jean Bailey, ARNP
- Family Nurse Practitioner
- Ponte Vedra Beach, FL
National Provider Identifier
1518040468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP1331482
- Practice address
- 520 A1A N Ste 101
Credentialing Department
Ponte Vedra Beach, FL 32082-2260 - Phone
- (904) 273-6900
- Fax
- (904) 273-9022
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP1331482 | FL | Primary |
Addresses
Primary practice location
520 A1A N Ste 101
Credentialing Department
Ponte Vedra Beach, FL 32082-2260
Mailing address
PO Box 45443
Salt Lake City, UT 84145-0443
Phone (904) 202-1032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00804064 | Other | FL | RR MEDICARE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Primary Care Inc | Family | Past | 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.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1508817529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1518040468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45443",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841450443",
"telephone_number": "904-202-1032",
"fax_number": "904-376-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 A1A N STE 101",
"address_2": "CREDENTIALING DEPARTMENT",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320822260",
"telephone_number": "904-273-6900",
"fax_number": "904-273-9022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "LAURA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP1331482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00804064",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ponte Vedra Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.