Active NPI
Katharine Bailey
- Speech-Language Pathologist
- Fruitland, NM
National Provider Identifier
1053733089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- C-5417
- Practice address
- Napi Farmland Off Road 3005
Ojo Amarillo Elementary
Fruitland, NM 87416-0768 - Phone
- (505) 960-5271
- Fax
- (505) 960-6324
- NPI assigned
- Jan 10, 2014
- Last updated
- Jan 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | C-5417 | NM | Primary |
Addresses
Primary practice location
Napi Farmland Off Road 3005
Ojo Amarillo Elementary
Fruitland, NM 87416-0768
Mailing address
PO Box 768
Fruitland, NM 87416-0768
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-5417 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389312000000",
"number": "1053733089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 768",
"city": "FRUITLAND",
"state": "NM",
"postal_code": "874160768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAPI FARMLAND OFF ROAD 3005",
"address_2": "OJO AMARILLO ELEMENTARY",
"city": "FRUITLAND",
"state": "NM",
"postal_code": "874160768",
"telephone_number": "505-960-5271",
"fax_number": "505-960-6324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "KATHARINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-10",
"last_updated": "2014-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "C-5417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fruitland, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.