Individual provider Active NPI

Cecille Bailey, NP

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1881269512
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1022929 Issued in TX
Practice address
12360 Bear Ram Rd Ste T-1
Houston, TX 77072-1286
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1022929 TX Primary

Addresses

Primary practice location

12360 Bear Ram Rd Ste T-1
Houston, TX 77072-1286

Mailing address

12360 Bear Ram Rd # T-1
Houston, TX 77072-1286
Phone (832) 658-5210

Other names 1

  • Cecille Bailey Other name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1022929TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Community Benefit Corporation CurrentSince Dec 8, 2024 Accepting new patients
Ikp Family Medicine P.a. CurrentSince Jun 7, 2021 Accepting new patients

Locations

11026 Highway 242
Conroe, TX 77385
Phone (281) 587-1700

12360 Bear Ram Rd
#T1
Houston, TX 77072
Phone (832) 658-5210

21309 Foster Rd
#100
Spring, TX 77388
Phone (281) 587-1700

Interoperability endpoints

  • Direct secure messaging: cbailey698649@memorialhermann.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1881269512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 BEAR RAM RD # T-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770721286",
            "telephone_number": "832-658-5210",
            "fax_number": "281-564-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 BEAR RAM RD STE T-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770721286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CECILLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1022929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECILLE",
            "last_name": "BAILEY",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.