Individual provider Active NPI

Shrilda Gradney Bailey, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1821539370
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138674 Issued in TX
Practice address
1308 Green Oak Dr
N/a
Baton Rouge, LA 70815-2026
Phone
(817) 291-9019
Fax
(225) 412-4952
NPI assigned
Mar 16, 2017
Last updated
Oct 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP138674 TX Primary
Registered Nurse 163W00000X RN087065 LA

Addresses

Primary practice location

1308 Green Oak Dr
N/a
Baton Rouge, LA 70815-2026

Mailing address

1308 Green Oak Dr
N/a
Baton Rouge, LA 70815-2026
Phone (817) 291-9019

Other identifiers 1

IdentifierTypeStateIssuer
RN087065OtherLAREGISTERED NURSE LICENSE

Other names 1

  • Mrs. Shrilda Ann Bailey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220329002111 TX Practitioner - Nurse Practitioner 5698014884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN087065LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire to Be Better Clinic CurrentSince Mar 10, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1821539370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 GREEN OAK DR",
            "address_2": "N/A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708152026",
            "telephone_number": "817-291-9019",
            "fax_number": "225-412-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 GREEN OAK DR",
            "address_2": "N/A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708152026",
            "telephone_number": "817-291-9019",
            "fax_number": "225-412-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "SHRILDA",
        "middle_name": "GRADNEY",
        "name_prefix": "Mrs.",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138674",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN087065",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "RN087065",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHRILDA",
            "last_name": "BAILEY",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "FAMILY NURSE PRACTIT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.