Active NPI
Stephanie Natasha Bailey, APRN
- Nurse Practitioner
- Seminole, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11015548
- Practice address
- 9555 Seminole Blvd Ste 104
Seminole, FL 33772-2522 - Phone
- (727) 270-9798
- Fax
- (727) 394-1505
- NPI assigned
- May 9, 2022
- Last updated
- May 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11015548 | FL | Primary |
Addresses
Primary practice location
9555 Seminole Blvd Ste 104
Seminole, FL 33772-2522
Mailing address
9555 Seminole Blvd Ste 104
Seminole, FL 33772-2522
Phone (727) 270-9798
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN11015548 | Other | FL | LICENSE NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7901 4TH St N
St Petersburg, FL 33702-4305
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11015548 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MB Primary Care LLC | Nurse Practitioner | Current | Accepting new patients |
| Mending Hearts Primary Care LLC | Current | Accepting new patients | |
| Choice Health Care, Inc. | Current | Accepting new patients | |
| L Bhattacharjee MD PA | Past | Accepting new patients |
Locations
1201 S Highland Ave
Ste 7
Clearwater, FL 33756
Phone (727) 394-1500
515 Missouri Ave N
Largo, FL 33770
Phone (727) 587-6667
9555 Seminole Blvd
Ste 104
Seminole, FL 33772
Phone (727) 394-1500
4700 N Habana Ave
Ste 201
Tampa, FL 33614
Phone (727) 527-5100
Interoperability endpoints
- stephanie.bailey.1@30565.direct.athenahealth.com
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.
-
- Nurse Practitioner
- Seminole, FL
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Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1720724115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9555 SEMINOLE BLVD STE 104",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337722522",
"telephone_number": "727-270-9798",
"fax_number": "727-394-1505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9555 SEMINOLE BLVD STE 104",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337722522",
"telephone_number": "727-270-9798",
"fax_number": "727-394-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "STEPHANIE",
"middle_name": "NATASHA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-09",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11015548",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO.",
"identifier": "APRN11015548",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.