Bailey Siebrecht

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

4702 Pueblo St SW
Cedar Rapids, IA 52404-7377

Phone

(319) 432-1636

NPI assigned

Feb 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1174156772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 PUEBLO ST SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524047377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 PUEBLO ST SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524047377",
            "telephone_number": "319-432-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBRECHT",
        "first_name": "BAILEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Shudzeka, PMHNP
• Gary L. Shultz, D.O.
• Nancy L Sickelka, AUD
• Anna Agnes Siddall, T-LMFT
• Mollie Elizabeth Siebels, PHARMD
• Matthew Sieverding
• Edgar J Siguenza, LISW
• Christine Marie Sigwarth, L.M.H.C.
• Melinda Silver, ARNP
• Treesa A Silver, ARNP, CNM

• Athletic Trainer in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.