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LITA C BAILLY FNP
NPI 1306856166
Nurse Practitioner - Family in Grants, NM

Active since August 08, 2006
1217 BONITA ST, GRANTS, NM 87020(505) 287-2950(505) 287-2403 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lita C Bailly Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LITA C BAILLY FNP (NPI 1306856166) is an individual family provider in Grants, New Mexico, licensed in Maine (AP081328) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1306856166
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLITA C BAILLYCredential: FNP
Location Address1217 BONITA STGrants, NM 87020-2103
Mailing Address1217 Bonita StGrants, NM 87020-2103 · (505) 287-2950 · Fax (505) 287-2403
Phone(505) 287-2950
Fax(505) 287-2403
Sole ProprietorNo
Enumeration DateAugust 8, 2006
Last NPPES UpdateOctober 27, 2011
✔ NPI 1306856166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in ME · AP081328✔ Licensed in ME · R029543
1217 BONITA ST, Grants, NM 87020
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Other Names 1

Former Name (1)Ms. Lita C Bailly Fnp

Other Identifiers 3

Medicare UPINP52461ME
Medicaid335260099ME
Medicare PINNP3170ME

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CHANDRA S. GORDON LADAC; LPC
Counselor (Addiction (Substance Use Disorder))
1217 BONITA ST
GRANTS, NM 87020
Cibola County (505) 287-2273
DR. ANN EDMUNDS HEATH MD
Family Medicine
1217 BONITA ST
GRANTS, NM 87020
Cibola County (505) 287-2950
PRESBYTERIAN MEDICAL SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
1217 BONITA ST
GRANTS, NM 87020
Cibola County (505) 287-2958
WINONA L GALINDO CCHW
Community Health Worker
1217 BONITA ST
GRANTS, NM 87020
Cibola County (505) 287-2958
SHERRY ANN POLEN CNP
Nurse Practitioner (Family)
1217 BONITA ST
GRANTS, NM 87020
Cibola County (505) 287-2958
JAEWON LEE CNP
Nurse Practitioner (Family)
1217 BONITA ST
GRANTS, NM 87020
Cibola County (052) 872-9585
MS. NICOLE NEAL LPCC
Counselor (Mental Health)
1217 BONITA ST, PMS DBA WNMMG
GRANTS, NM 87020
Cibola County (505) 287-2273
ASHLEI L ALLEN
Counselor
1217 BONITA ST
GRANTS, NM 87020
Cibola County (505) 471-5006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lita Bailly's NPI number?

The NPI number for Lita Bailly is 1306856166. It was assigned to this individual provider in the NPPES registry on August 8, 2006. The provider is also known as Ms. Lita C Bailly Fnp.

Where is Lita Bailly located?

Lita Bailly practices at 1217 Bonita St, Grants, NM 87020. The listed phone number is (505) 287-2950.

What is Lita Bailly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lita Bailly was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.