NPIMap

Organization Active NPI

Avaesen Healthcare Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1013651306
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AVAESEN HEALTHCARE INC
Practice address
5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344
Phone
(443) 692-7241
Fax
(800) 571-0474
NPI assigned
Apr 23, 2022
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
AVAESEN HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Dr. Felicia Dalphine Bailey, DNP, CRNPNPI 1801365101
Title
Ceo
Phone
(443) 203-8681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344

Mailing address

5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344
Phone (443) 203-8681

Other identifiers 1

IdentifierTypeStateIssuer
667070900MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fbailey@avaesenhealthcare.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Avaesen Healthcare Inc3 organizations share this tax ID, including this one
Part of
Avaesen Healthcare Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25262/brand/1/csg/1/fhir/r4

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1013651306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BUCKEYSTOWN PIKE STE 250",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048344",
            "telephone_number": "443-203-8681",
            "fax_number": "800-571-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 BUCKEYSTOWN PIKE STE 250",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048344",
            "telephone_number": "443-692-7241",
            "fax_number": "800-571-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVAESEN HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVAESEN HEALTHCARE INC",
        "enumeration_date": "2022-04-23",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "DALPHINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-203-8681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "667070900",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fbailey@avaesenhealthcare.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5100 Buckeystown Pike Ste 250",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217048344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.