Angela Bais

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN111530 Issued in OH

Practice address

15 Frederick Ave
Akron, OH 44310-2904

Phone

(330) 996-7730

Fax

(330) 258-0159

NPI assigned

Sep 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angela King Former name

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": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1124576053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S 1ST ST",
            "city": "RITTMAN",
            "state": "OH",
            "postal_code": "442701420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FREDERICK AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443102904",
            "telephone_number": "330-996-7730",
            "fax_number": "330-258-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIS",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN111530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "KING",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffanny Bailey
• Bethany Bair, MD, LPCC-S
• Heather Marie Baird, APRN-CNP
• Jan C. Baird
• Micah W Baird, MD
• Caden Joseph Bais
• Dauretta Leveller Baity
• Lemonica Baity
• Tajinder Bajwa, MD
• Heather Bakeman

• Licensed Practical Nurse in Akron, OH
• Providers in Akron, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.