Active NPI
Christian Baley
- Case Manager/Care Coordinator
- Tampa, FL
National Provider Identifier
1245882133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- CBHCMS.0102634
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113465300 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CBHCMS.0102634 | FL | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truism Fiduciary Services | Current | 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.
-
- Case Management Agency
- Tampa, FL
- NPI 1831965771
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- St Petersburg, FL
- NPI 1306862511
-
- Case Management Agency
- St Petersburg, FL
- NPI 1285078758
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.