Individual provider Active NPI

Andrea Beverly McBean-Bailey, LPN

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1700202504
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
277093-1 Issued in NY
Practice address
3133 New England Thruway
Bronx, NY 10469-3141
Phone
(917) 754-0540
Fax
(347) 964-6939
NPI assigned
Mar 17, 2014
Last updated
Mar 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 277093-1 NY Primary

Addresses

Primary practice location

3133 New England Thruway
Bronx, NY 10469-3141

Mailing address

3133 New England Thruway
Bronx, NY 10469-3141
Phone (917) 754-0540

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
277093-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1700202504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 NEW ENGLAND THRUWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693141",
            "telephone_number": "917-754-0540",
            "fax_number": "347-964-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 NEW ENGLAND THRUWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693141",
            "telephone_number": "917-754-0540",
            "fax_number": "347-964-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBEAN-BAILEY",
        "first_name": "ANDREA",
        "middle_name": "BEVERLY",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "277093-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.