Bailey Victoria Laday

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

1066612 Issued in TX

Practice address

135 Oyster Creek Dr Ste B
Lake Jackson, TX 77566-4119

Phone

(979) 215-2309

Fax

(844) 272-3168

NPI assigned

Aug 5, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tailored Weight Loss, LLC

  • Primary Care Clinic/Center
  • Lake Jackson, TX
  • NPI 1881166791
  NPD

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1760119002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 OYSTER CREEK DR STE B",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664119",
            "telephone_number": "979-215-2309",
            "fax_number": "844-272-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 OYSTER CREEK DR STE B",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664119",
            "telephone_number": "979-215-2309",
            "fax_number": "844-272-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADAY",
        "first_name": "BAILEY",
        "middle_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "1066612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blair William Krell, M.D.
• Krisbin Medical LLC
• Gollavelli Jyothi Krishna, MD
• Kristina Kirkland Kulcak, D.C.
• Kelley D Kweon, O.D.
• Amy Catherine Laird-Payne, PYSICIAN ASSISTANT
• Lake Jackson Assisted Living, LTD.
• Lake Jackson Audiology and Hearing Aid Consultants, LLC
• Lake Jackson Chiropractic and Rehab PC
• Lake Jackson Clinic, P.a.

• All providers in Lake Jackson, TX
• General Practice Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.