Nicole Kristine Bailey, OT

Key facts

NPI

1215401344

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Occupational Therapist 225XM0800X

Practice address

601 Stillwater Ave
Old Town, ME 04468-2215

Phone

(207) 436-5510

NPI assigned

Jan 11, 2019

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 13, 2024.

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1215401344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 COLLEGE AVE",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044685144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STILLWATER AVE",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044682215",
            "telephone_number": "207-436-5510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 State House Sta",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043332215",
            "country_code": "US",
            "telephone_number": "207-624-6660",
            "fax_number": "207-624-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "NICOLE",
        "middle_name": "KRISTINE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Town, ME

• Amy N Alexcovich, DMD
• Antony Keith Angus, DC
• Atlantic Occupational Therapy
• Allison Bleakney
• Jan Louis Booysen
• Bradley Bouchard
• Jill M Bouchard, ANPC
• Jeffrey Loberiano Boucher, PMHNP

All providers in Old Town, ME · Mental Health Occupational Therapist in Maine