Active NPI
Bailee Vernon McCarley, FNP
- Occupational Health Nurse Practitioner
- Honolulu, HI
National Provider Identifier
1770051708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Nurse Practitioner
- License
- 22050
- Practice address
- 4211 Waialae Ave # 9220
Honolulu, HI 96816-5319 - Phone
- (808) 732-0782
- NPI assigned
- Nov 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3556 | HI | |
| Occupational Health Nurse Practitioner | 363LX0106X | 22050 | SC | Primary |
Addresses
Primary practice location
4211 Waialae Ave # 9220
Honolulu, HI 96816-5319
Mailing address
92-553 Akaawa St
Kapolei, HI 96707-1028
Phone (864) 933-7895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3556 | HI | MD | Nurse Practitioner |
| 22050 | SC | MD | Occupational Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Clinical Education & Research Associates | Current | Accepting new patients | |
| University Clinical Education & Research Associates | Current | Accepting new patients |
Locations
98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301
677 Ala Moana Blvd
Ste 1001
Honolulu, HI 96813
Organizations & group practices 2
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.
-
- Specialist
- Honolulu, HI
- NPI 1013966845
-
- Clinical Medical Laboratory
- Honolulu, HI
- NPI 1659971489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1770051708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92-553 AKAAWA ST",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967071028",
"telephone_number": "864-933-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 WAIALAE AVE # 9220",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968165319",
"telephone_number": "808-732-0782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARLEY",
"first_name": "BAILEE",
"middle_name": "VERNON",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-07",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "HI",
"license": "3556",
"primary": false
},
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "SC",
"license": "22050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.