Nakisha Bailey, RN
Individual provider Active NPI Addiction (Substance Use Disorder) Registered Nurse · Swanton, OH
NPI 1205366200 · NPPES record last updated Jun 13, 2017
Key facts
- NPI
- 1205366200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse 163WA0400X
- License
- 280729 (OH)
- Practice address
- 350 South Irwin Road
Swanton, OH 43558 - Phone
- (567) 703-9064
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 280729 | OH | MD | Addiction (Substance Use Disorder) Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 280729 | OH | Yes |
Addresses
Primary practice location
350 South Irwin Road
Swanton, OH 43558
Mailing address
608 W High St
Lima, OH 45801-4706
Phone (567) 703-9064
Other providers in Swanton, OH
- Rebecca Abu-Absi
- All Can Truly Serve, Co.
- Haadia Amin
- Brady Lyn Avina
- Breanna Benjamin
- Kelly Louise Bergman
- Black Swamp Worksite Therapy, LLC
- Helen Bouillion
- Joseph Paul Brennan
All providers in Swanton, OH · Addiction (Substance Use Disorder) Registered Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.