Individual provider Active NPI

Christian Baley

  • Case Manager/Care Coordinator
  • Tampa, FL
National Provider Identifier
1245882133
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
CBHCMS.0102634 Issued in FL
Practice address
13902 N Dale Mabry Hwy Ste 219
Tampa, FL 33618-2424
Phone
(813) 830-3235
Fax
(813) 409-3852
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CBHCMS.0102634 FL Primary

Addresses

Primary practice location

13902 N Dale Mabry Hwy Ste 219
Tampa, FL 33618-2424

Mailing address

11202 Mondale Ave
Seffner, FL 33584-7312
Phone (813) 830-3235

Other identifiers 1

IdentifierTypeStateIssuer
113465300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@truismfiduciaryservices.com Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
CBHCMS.0102634FLMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Truism Fiduciary Services CurrentSince Dec 3, 2023 Accepting new patients
Carlton Manor, Inc. Past Accepting new patients
Carlton Manor, Inc Past Accepting new patients

Locations

13902 N Dale Mabry Hwy
Ste 219
Tampa, FL 33618
Phone (813) 520-1047

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1245882133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11202 MONDALE AVE",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335847312",
            "telephone_number": "813-830-3235",
            "fax_number": "813-409-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13902 N DALE MABRY HWY STE 219",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182424",
            "telephone_number": "813-830-3235",
            "fax_number": "813-409-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALEY",
        "first_name": "CHRISTIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCMS.0102634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113465300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@truismfiduciaryservices.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11202 Mondaley Ave",
            "city": "Seffner",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.