Individual provider Active NPI

Barbara Dawn Bausman, RN, BSN, MS,CCRN-CMC

  • Critical Care Medicine Registered Nurse
  • Kingsport, TN
National Provider Identifier
1245565902
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
135278 Issued in TN
Practice address
130 W Ravine Rd
Wellmont Holston Valley Medical Center
Kingsport, TN 37660-3837
Phone
(423) 224-6220
NPI assigned
Oct 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 135278 TN Primary

Addresses

Primary practice location

130 W Ravine Rd
Wellmont Holston Valley Medical Center
Kingsport, TN 37660-3837

Mailing address

4041 Lake Forest Dr
Kingsport, TN 37663-3773
Phone (423) 239-3783

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
Credentials
Bachelor on Science - Nursing, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
135278TNMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1245565902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 LAKE FOREST DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376633773",
            "telephone_number": "423-239-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W RAVINE RD",
            "address_2": "WELLMONT HOLSTON VALLEY MEDICAL CENTER",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603837",
            "telephone_number": "423-224-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUSMAN",
        "first_name": "BARBARA",
        "middle_name": "DAWN",
        "credential": "RN, BSN, MS,CCRN-CMC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TN",
            "license": "135278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.