Active NPI
Brenda D Bailey, NP-C
- Adult Health Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 16744
- Practice address
- 1068 Cresthaven Rd Ste 110
Memphis, TN 38119-0845 - Phone
- (901) 405-6470
- Fax
- (901) 747-2338
- NPI assigned
- Jun 11, 2012
- Last updated
- Feb 28, 2018
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 16744 | TN | Primary |
Addresses
Primary practice location
1068 Cresthaven Rd Ste 110
Memphis, TN 38119-0845
Mailing address
1068 Cresthaven Rd Ste 110
Memphis, TN 38119-0845
Phone (901) 405-6470
Other practice location 1
1540 Appling Care Ln
Ste 105
Cordova, TN 38016-4957
Phone (901) 444-3950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Chase St
Byhalia, MS 38611-7395
Phone (662) 838-3670
1730 Dorchester Dr
Southaven, MS 38671-5723
Phone (662) 393-0050
3549 Norriswood Ave
Memphis, TN 38111-5911
Phone (864) 671-0600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16744 | TN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Pain Clinics, Inc | Current | Accepting new patients | |
| Spectrum Pain Clinics Inc. | Current | Accepting new patients | |
| Health Providers of America, LLC | Current | Accepting new patients | |
| Spinal Health Care Associates, P.C. | Past | Accepting new patients |
Locations
111 Chase St
Byhalia, MS 38611
Phone (662) 252-1141
3068 Nail Rd W
Horn Lake, MS 38637
Phone (662) 280-1219
7250 Pleasant Hill Rd
Olive Branch, MS 38654
108 Clarington Dr
Southaven, MS 38671
Phone (662) 349-9043
1730 Dorchester Dr
Southaven, MS 38671
Phone (662) 226-2442
230 E James M Campbell Blvd
Ste 102
Columbia, TN 38401
Phone (931) 840-9588
1535 Appling Care Ln
Cordova, TN 38016
Phone (901) 203-5228
8132 Cordova Rd
Cordova, TN 38016
Phone (901) 367-0811
8132 Cordova Rd
Ste 102
Cordova, TN 38016
Phone (901) 751-0939
8132 Cordova Rd
Ste 103
Cordova, TN 38016
Phone (901) 751-0939
200 Sanitarium Cir
Dayton, TN 37321
Phone (423) 775-0771
7796 Wolf Trail Cv
Ste 102
Germantown, TN 38138
Phone (901) 624-5020
3549 Norriswood Ave
Memphis, TN 38111
Phone (864) 671-0600
5081 Easley Ave
Millington, TN 38053
Phone (901) 873-3290
Organizations & group practices 4
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.
-
- Primary Care Nurse Practitioner
- Cincinnati, OH
- NPI 1316560972
MS, TN
-
- Interventional Pain Medicine Physician
- Cordova, TN
- NPI 1265533897
-
- Durable Medical Equipment & Medical Supplies
- Jackson, TN
- NPI 1053100560
-
- Rehabilitation Chiropractor
- Cordova, TN
- NPI 1316137243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1619239126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1068 CRESTHAVEN RD STE 110",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381190845",
"telephone_number": "901-405-6470",
"fax_number": "901-747-2338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1068 CRESTHAVEN RD STE 110",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381190845",
"telephone_number": "901-405-6470",
"fax_number": "901-747-2338"
}
],
"practiceLocations": [
{
"address_1": "1540 Appling Care Ln",
"address_2": "Ste 105",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "380164957",
"country_code": "US",
"telephone_number": "901-444-3950",
"fax_number": "901-444-3866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "BRENDA",
"middle_name": "D",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-11",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "16744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.