Sandra D Bailey, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Louisville, KY
NPI 1376530428 · NPPES record last updated May 20, 2010
Key facts
- NPI
- 1376530428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 1024160 (KY)
- Practice address
- 3101 Breckenridge LN
Suite 1a
Louisville, KY 40220-2742 - Phone
- (502) 458-7400
- Fax
- (502) 458-7449
- NPI assigned
- Oct 4, 2005
- Sex
- Female
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1024160 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Associates PSC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1024160 | KY | Yes |
Addresses
Primary practice location
3101 Breckenridge LN
Suite 1a
Louisville, KY 40220-2742
Mailing address
3101 Breckenridge LN
Suite 1a
Louisville, KY 40220-2742
Phone (502) 458-7400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000283628 | Other | KY | ANTHEM |
| 1075146 | Other | KY | PASSPORT |
| 430002077 | Other | KY | RAILROAD MEDICARE |
| 2435209000 | Other | KY | PASSPORT ADVANTAGE |
| 74263591 | Medicaid | KY |
Other providers in Louisville, KY
- Kimberly Bailey
- Linda Bailey
- Margaret S Bailey
- Melissa Erin Bailey
- Michael Scott Bailey
- Sharon Ann Bailey
- Sherrell Kay Bailey
- Thomas Patrick Bailey
- Amy Goodwin Baird
- Douglas Clowes Baird
All providers in Louisville, KY · Certified Registered Nurse Anesthetist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2010. 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.