Vanteen Bailey – Registered Nurse in Hazelwood, MO

Key facts

NPI: 1861520108
Entity type: Individual (NPI type 1)
Primary specialty: Registered Nurse 163W00000X
License: 092177 (MO)
Practice address: 320 Brookes Dr Suite 200
Hazelwood, MO 63042
Phone: (314) 731-4800
Fax: (314) 731-4896
NPI assigned: Feb 28, 2007
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

New Life in Home Services, LLC In Home Supportive Care Agency · Ferguson, MO · NPI 1992306732

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
092177	MO	MD	Registered Nurse

Practice roles

Organization	Specialty	Status	New patients
New Life in Home Services, LLC		Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Registered Nurse	163W00000X	092177	MO	Yes

Addresses

Primary practice location

320 Brookes Dr Suite 200
Hazelwood, MO 63042

Mailing address

320 Brookes Dr
200
Hazelwood, MO 63042-2736
Phone (314) 731-4800

Other identifiers

Identifier	Type	State	Issuer
263930505	Medicaid	MO

Other providers in Hazelwood, MO

All providers in Hazelwood, MO · Registered Nurse in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.