Pamela Rae Bailey

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN-114742-AP06631 Issued in LA

Practice address

2106-A Loop Road
Wiinnsboro, LA 71295

Phone

(318) 435-6363

Fax

(318) 435-4646

NPI assigned

Aug 16, 2011

Last updated

Jun 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Franklin Parish Hospital

  dba Franklin Medical Center PSY

  • Psychiatric Hospital Unit
  • Winnsboro, LA
  • NPI 1093763526
  NPD (past)
• Franklin Parish Hospital Service Dist 1

  dba Gilbert Health Center

  • Rural Health Clinic/Center
  • Gilbert, LA
  • NPI 1669002002
  NPD (past)

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1598044976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 JACK JONES RD",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712956616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106-A LOOP ROAD",
            "city": "WIINNSBORO",
            "state": "LA",
            "postal_code": "71295",
            "telephone_number": "318-435-6363",
            "fax_number": "318-435-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "PAMELA",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "RN-114742-AP06631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2169904",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.