Active NPI
Ron Whitten-Bailey, NP-C
- Family Nurse Practitioner
- Kennewick, WA
National Provider Identifier
1063415644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30006881
- Practice address
- 8656 W Gage Blvd Ste 202
Kennewick, WA 99336-7145 - Phone
- (509) 987-1246
- Fax
- (509) 987-1247
- NPI assigned
- May 27, 2005
- Last updated
- Sep 25, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200450156NP | OR | |
| Family Nurse Practitioner | 363LF0000X | AP30006881 | WA | Primary |
Addresses
Primary practice location
8656 W Gage Blvd Ste 202
Kennewick, WA 99336-7145
Mailing address
8656 W Gage Blvd Ste 202
Kennewick, WA 99336-7145
Phone (509) 987-1246
Other practice location 1
1050 W Elm Ave Ste 210
Hermiston, OR 97838-2714
Phone (541) 667-4104
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200450156NP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Sleep of Oregon LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Sleep Disorder Diagnostic Clinic/Center
- Hermiston, OR
- NPI 1871764936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1063415644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8656 W GAGE BLVD STE 202",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367145",
"telephone_number": "509-987-1246",
"fax_number": "509-987-1247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8656 W GAGE BLVD STE 202",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367145",
"telephone_number": "509-987-1246",
"fax_number": "509-987-1247"
}
],
"practiceLocations": [
{
"address_1": "1050 W Elm Ave Ste 210",
"address_purpose": "LOCATION",
"city": "Hermiston",
"state": "OR",
"postal_code": "978382714",
"country_code": "US",
"telephone_number": "541-667-4104",
"fax_number": "541-667-4175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITTEN-BAILEY",
"first_name": "RON",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "200450156NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30006881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.