Jakob Donald Bailey, NAC
Individual provider Active NPI Nurse's Aide · Centralia, WA
NPI 1053978080 · NPPES record last updated May 24, 2019
Key facts
- NPI
- 1053978080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- NC60798324
- Practice address
- 3510 Steelhammer Dr
Centralia, WA 98531-4551 - Phone
- (360) 623-8020
- Fax
- (360) 623-1072
- NPI assigned
- May 24, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Evaluation and Treatment Center | Past | Accepting new patients | |
| Cascade Community Healthcare | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NC60798324 | Yes |
Addresses
Primary practice location
3510 Steelhammer Dr
Centralia, WA 98531-4551
Mailing address
3510 Steelhammer Dr
Centralia, WA 98531-4551
Phone (360) 623-8020
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | baileyj@cascadmentalhealth.org | Direct |
Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.