Individual provider Active NPI

Cary Ann Bailey, MSN, ACNP-BC

  • Acute Care Nurse Practitioner
  • Carterville, IL
National Provider Identifier
1871870394
Registry record updated Jan 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209009211 Issued in IL
Practice address
209 W Commercial Dr Ste H
Carterville, IL 62918-2057
Phone
(618) 985-9559
Fax
(618) 985-9005
NPI assigned
Nov 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 209009211 IL Primary

Addresses

Primary practice location

209 W Commercial Dr Ste H
Carterville, IL 62918-2057

Mailing address

209 W Commercial Dr Ste H
Carterville, IL 62918-2057
Phone (618) 985-9559

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

NPI Registry JSON

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483228800000",
    "number": "1871870394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W COMMERCIAL DR STE H",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629182057",
            "telephone_number": "618-985-9559",
            "fax_number": "618-985-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W COMMERCIAL DR STE H",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629182057",
            "telephone_number": "618-985-9559",
            "fax_number": "618-985-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSN, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-11",
        "last_updated": "2017-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209009211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carterville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2017; 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.