SUSAN DEBORAH BAILEY (NPI# 1245232016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245232016 |
| Entity Type | Individual |
| Full Name | SUSAN DEBORAH BAILEY |
| Credential | CFNP |
| Practice Address |
863 3rd Ave N St Petersburg FL 33701-2703 |
| Practice Telephone | 7273270333 |
| Practice Fax Number | 7273216412 |
| Mailing Telephone | 7273270333 |
| Mailing Fax Number | 7273216412 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2008-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
LG0000123 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000896242 | 05 | |
| DE | COVENTRY | 169331 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144741042 | Susan Desiree Bailey | Licensed Practical Nurse | 1104 S Main St # A, Lexington, NC 27292-3134 | 2017-06-29 |
| 1326582321 | Susan Bailey | Registered Nurse | 806 Pearman Dairy Rd, Anderson, SC 29625-2616 | 2016-12-09 |
| 1164892394 | Susan Bailey | Nurse Practitioner | 4140 N 108th Ave, Suite 134, Phoenix, AZ 85037-5466 | 2015-09-30 |
| 1326393174 | Susan Bailey | Physical Therapist | 790 Roy Richard Dr., Schertz, TX 78154 | 2012-07-18 |
| 1780813360 | Susan E Bailey | Speech-Language Pathologist | 810 W Lamberth Rd, Sherman, TX 75092-2978 | 2009-07-05 |
| 1740430610 | Susan J Bailey | Counselor | Grove Street, 15 Grove Street, North Conway, NH 03860 | 2008-09-26 |
| 1568582062 | Susan Prange Bailey | Chiropractor | 664a Azalea Ave, Redding, CA 96002-0217 | 2007-03-29 |
| 1245358274 | Susan Lynn Bailey | Internal Medicine | 700 Commons Way, #227, Rochester, NY 14623-3147 | 2007-03-27 |
| 1174164115 | Susan A Bailey | Counselor | 116 Hills Plz, Charleston, WV 25387-2438 | 2019-10-01 |
| 1871050443 | Susan J Bailey | Adult Companion | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2019-03-01 |
| Street Address |
863 3RD AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922309178 | Trudy Cheri Grossman | Nurse Practitioner | 863 3rd Ave N, St Petersburg, FL 33701-2703 | 2010-11-04 |
| 1184862849 | Richard T Eliason | General Practice | 863 3rd Ave N, St Petersburg, FL 33701-2703 | 2009-02-03 |
| 1154595437 | Alan B Campbell | General Practice | 863 3rd Ave N, St Petersburg, FL 33701-2703 | 2008-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346857349 | Angelea N Koenig | Nurse Practitioner | 625 6th Ave S Ste 125, St Petersburg, FL 33701-4664 | 2020-09-24 |
| 1508479411 | Kendall Day Melendi | Nurse Practitioner | 6499 38th Ave N Ste B2, St Petersburg, FL 33710-1650 | 2020-08-28 |
| 1376160408 | Vicki Lynn Cory | Nurse Practitioner | 2315 7th St N, St Petersburg, FL 33704-3303 | 2020-07-06 |
| 1851917520 | Aushaunte F White | Nurse Practitioner | 6395 21st Way S, St Petersburg, FL 33712-5737 | 2020-06-18 |
| 1932730025 | Julio Gandarillas | Nurse Practitioner | 2062 Burlington Ave N, St Petersburg, FL 33713-8033 | 2020-01-28 |
| 1376182485 | Jermece Watts | Nurse Practitioner | 6101 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1141 | 2020-01-06 |
| 1619510864 | Tracie D Barber | Nurse Practitioner | 1049 27th Ave S, St Petersburg, FL 33705-3527 | 2019-10-21 |
| 1194367136 | Jessica Danielle Einwag Arnold | Nurse Practitioner | 1515 Eden Isle Blvd Ne Apt 32, St Petersburg, FL 33704-1718 | 2019-10-10 |
| 1588205678 | Lauren Bartkovsky | Nurse Practitioner | 10475 Gandy Blvd N Unit 1401, St Petersburg, FL 33702-2493 | 2019-10-01 |
| 1699337352 | Janae N Anderson | Nurse Practitioner | 1201 5th Ave N Ste 408, St Petersburg, FL 33705-1425 | 2019-07-02 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
Please comment or provide details below to improve the information on SUSAN DEBORAH BAILEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.