Active NPI
Bailey Jordan Culbertson, RN
- Registered Nurse
- Weatherford, TX
National Provider Identifier
1881239663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 944263
- Practice address
- 702 S Elm St
Weatherford, TX 76086-5429 - Phone
- (682) 999-9574
- NPI assigned
- Nov 15, 2019
- Last updated
- Jan 28, 2020
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 944263 | TX | Primary |
Addresses
Primary practice location
702 S Elm St
Weatherford, TX 76086-5429
Mailing address
PO Box 1867
Weatherford, TX 76086-7867
Phone (682) 999-9574
Other practice location 1
408 Vine St Apt A
Weatherford, TX 76086-2456
Phone (817) 901-5254
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 944263 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1881239663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1867",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760867867",
"telephone_number": "682-999-9574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 S ELM ST",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760865429",
"telephone_number": "682-999-9574"
}
],
"practiceLocations": [
{
"address_1": "408 Vine St Apt A",
"address_purpose": "LOCATION",
"city": "Weatherford",
"state": "TX",
"postal_code": "760862456",
"country_code": "US",
"telephone_number": "817-901-5254",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CULBERTSON",
"first_name": "BAILEY",
"middle_name": "JORDAN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-15",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "944263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.