Stashaun Bailey, CPT, CCMA

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

License

F9C8J3D9 Issued in MD

Practice address

2322 Saint Clair Dr
Temple Hills, MD 20748-6845

Phone

(202) 455-0323

NPI assigned

Jun 13, 2022

Last updated

Aug 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1003546037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 JEFFERSON STREET NE",
            "address_2": "STE 150 PMB 3786",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094390",
            "telephone_number": "202-455-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 SAINT CLAIR DR",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486845",
            "telephone_number": "202-455-0323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Jefferson Street NE",
            "address_2": "STE 150 PMB 3786",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871094390",
            "country_code": "US",
            "telephone_number": "202-455-0323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "STASHAUN",
        "credential": "CPT, CCMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "MD",
            "license": "F9C8J3D9",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "MD",
            "license": "L2T6A4Z2",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rica Sharron Avery, LPC
• Folake Ayegbusi, OTD, OTR/L
• Natalie Carmalita Bacchus
• Tyeisha Bagwell
• Jacquelyn Bailey, NP
• Rosalyn Baker, M.D., M.H.S.
• Suchitra M Balakrishnan, MD
• Kenneth Bernard Ballard, LCPC
• Banks Counseling, LLC
• Valerie Barbour

• Medical Laboratory Technician in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Medical Laboratory Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.