Nakisha Bailey, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

280729 Issued in OH

Practice address

350 South Irwin Road
Swanton, OH 43558

Phone

(567) 703-9064

NPI assigned

Jun 13, 2017

Last updated

Jun 13, 2017By the provider in NPPES

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)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc

  dba Lima UMADAOP

  • Community Health Clinic/Center
  • Lima, OH
  • NPI 1629144050
  NPD (past)

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1205366200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 W HIGH ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014706",
            "telephone_number": "567-703-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SOUTH IRWIN ROAD",
            "city": "SWANTON",
            "state": "OH",
            "postal_code": "43558",
            "telephone_number": "567-703-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "NAKISHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "280729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Abu-Absi, OT/L
• All Can Truly Serve, Co.
• Haadia Amin
• Brady Lyn Avina, OTR/L
• Breanna Benjamin, PT
• Kelly Louise Bergman
• Black Swamp Worksite Therapy, LLC
• Helen Bouillion
• Joseph Paul Brennan, D.D.S.

• Addiction (Substance Use Disorder) Registered Nurse in Swanton, OH
• Providers in Swanton, OH by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.