Individual provider Active NPI

Reynalin Bailey, APN

  • Religious Nonmedical Nursing Personnel
  • Tomball, TX
National Provider Identifier
1649307943
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Religious Nonmedical Nursing PersonnelTaxonomy code 374T00000X
License
670504 Issued in TX
Practice address
421 School St
Tomball, TX 77375-4788
Phone
(281) 357-1977
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Religious Nonmedical Nursing Personnel 374T00000X 670504 TX Primary

Addresses

Primary practice location

421 School St
Tomball, TX 77375-4788

Mailing address

421 School St
Tomball, TX 77375-4788
Phone (432) 978-1105

Other practice location 1

315 East 5th Street
Odessa, TX 79761-5133
Phone (432) 333-3433

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
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
670504TXMDReligious Nonmedical Nursing Personnel

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Care Providers, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649307943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 SCHOOL ST",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754788",
            "telephone_number": "432-978-1105",
            "fax_number": "432-333-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 SCHOOL ST",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754788",
            "telephone_number": "281-357-1977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 East 5th Street",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797615133",
            "country_code": "US",
            "telephone_number": "432-333-3433",
            "fax_number": "432-333-3450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "REYNALIN",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374T00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Nursing Personnel",
            "state": "TX",
            "license": "670504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.