Active NPI
Tywahneikai Lashae Bailey, CERT HAIR LOSS SPEC
- Prosthetics Case Management
- Radcliff, KY
National Provider Identifier
1124678701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 673 Knox Blvd Ste C
Radcliff, KY 40160-1568 - Phone
- (270) 351-4762
- NPI assigned
- Sep 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | Primary |
Addresses
Primary practice location
673 Knox Blvd Ste C
Radcliff, KY 40160-1568
Mailing address
673 Knox Blvd Ste C
Radcliff, KY 40160-1568
Phone (270) 351-4762
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1124678701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "673 KNOX BLVD STE C",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401601568",
"telephone_number": "270-351-4762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "673 KNOX BLVD STE C",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401601568",
"telephone_number": "270-351-4762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "TYWAHNEIKAI",
"middle_name": "LASHAE",
"credential": "CERT HAIR LOSS SPEC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Radcliff, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.