Active NPI
Krystin Dailey
- Community Health Worker
- Middleport, OH
National Provider Identifier
1124632773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 150B Mill St
Middleport, OH 45760-1071 - Phone
- (740) 644-9872
- NPI assigned
- Sep 1, 2020
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
150B Mill St
Middleport, OH 45760-1071
Mailing address
PO Box 132
Athens, OH 45701-0132
Phone (740) 644-9872
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Services for Behavioral Health | Past | Accepting new patients | |
| Integrated Services for Behavioral Health | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/isaoh/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Nelsonville, OH
- NPI 1073578431
-
- Community/Behavioral Health Agency
- Nelsonville, OH
- NPI 1205196201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1124632773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 132",
"city": "ATHENS",
"state": "OH",
"postal_code": "457010132",
"telephone_number": "740-644-9872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150B MILL ST",
"city": "MIDDLEPORT",
"state": "OH",
"postal_code": "457601071",
"telephone_number": "740-644-9872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAILEY",
"first_name": "KRYSTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-01",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleport, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.