Individual provider Active NPI

Jessica Janay Bailey, MNSC, APRN, NP-C

  • Registered Nurse
  • Nashville, AR
National Provider Identifier
1538638275
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R77410 Issued in AR
Practice address
1400 Leslie St
Nashville, AR 71852-4027
Phone
(870) 845-1933
Fax
(870) 845-1953
NPI assigned
Nov 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A005993 AR
Registered Nurse 163W00000X R77410 AR Primary

Addresses

Primary practice location

1400 Leslie St
Nashville, AR 71852-4027

Mailing address

1400 Leslie St
Nashville, AR 71852-4027
Phone (870) 845-1933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20190415001934 AR Practitioner - Nurse Practitioner 0547501827 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R77410ARMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Clinic of Nashville, P.a. PastSince Feb 18, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1538638275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LESLIE ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718524027",
            "telephone_number": "870-845-1933",
            "fax_number": "870-845-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LESLIE ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718524027",
            "telephone_number": "870-845-1933",
            "fax_number": "870-845-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JESSICA",
        "middle_name": "JANAY",
        "credential": "MNSC, APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-23",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005993",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R77410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, AR

Sources for this page

Verify at the official NPI Registry.