Active NPI
Christine Olga Bailes, RN, MSN, FNP
- Family Nurse Practitioner
- Wasilla, AK
National Provider Identifier
1841686201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1536
- Practice address
- 3505 E Meridian Park Loop Ste 100
Wasilla, AK 99654-7242 - Phone
- (907) 864-0022
- Fax
- (877) 725-7371
- NPI assigned
- Apr 13, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1536 | AK | Primary |
Addresses
Primary practice location
3505 E Meridian Park Loop Ste 100
Wasilla, AK 99654-7242
Mailing address
PO Box 75589
Chicago, IL 60675-5589
Phone (907) 864-0022
Other practice location 1
3035 E Palmer Wasilla Hwy Ste 301
Wasilla, AK 99654-7274
Phone (907) 864-0022
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1630807 | Medicaid | AK | |
| 1660501 | Medicaid | AK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | christine@christinebailes.com | Direct |
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1536 | AK | MD | Family Nurse Practitioner |
Interoperability endpoints
- cobailes@cbl-ak.direct.office.nextgen.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1841686201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75589",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606755589",
"telephone_number": "907-864-0022",
"fax_number": "877-725-7371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 E MERIDIAN PARK LOOP STE 100",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547242",
"telephone_number": "907-864-0022",
"fax_number": "877-725-7371"
}
],
"practiceLocations": [
{
"address_1": "3035 E Palmer Wasilla Hwy Ste 301",
"address_purpose": "LOCATION",
"city": "Wasilla",
"state": "AK",
"postal_code": "996547274",
"country_code": "US",
"telephone_number": "907-864-0022",
"fax_number": "877-725-7371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILES",
"first_name": "CHRISTINE",
"middle_name": "OLGA",
"credential": "RN, MSN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-13",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "1536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1630807",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1660501",
"state": "AK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "christine@christinebailes.com",
"affiliation": "N",
"endpointDescription": "Christine Bailes LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3505 E Meridian Park Loop Ste 100",
"city": "Wasilla",
"state": "AK",
"country_code": "US",
"postal_code": "996547242",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.