Individual provider Active NPI

Tanisha Bailey, RN

  • Home Health Agency
  • Chesapeake, VA
National Provider Identifier
1417655630
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO253230 Issued in VA
Practice address
4425 Portsmouth Blvd Ste 210a
Chesapeake, VA 23321-2152
Phone
(757) 228-6003
NPI assigned
Feb 16, 2023
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X 0001307384 VA
Personal Care Attendant 3747P1801X HCO253230 VA
Home Health Agency 251E00000X HCO253230 VA Primary
Respite Care 385H00000X HCO253230 VA

Addresses

Primary practice location

4425 Portsmouth Blvd Ste 210a
Chesapeake, VA 23321-2152

Mailing address

4425 Portsmouth Blvd Ste 210a
Chesapeake, VA 23321-2152
Phone (757) 228-6003

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001307384VAMDHome Health Registered Nurse
HCO253230VAMDRespite Care

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort N Your Home Care, LLC Home Health CurrentSince Apr 16, 2023 Accepting new patients

Locations

4425 Portsmouth Blvd
Ste 210A
Chesapeake, VA 23321
Phone (757) 228-6003

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1417655630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PORTSMOUTH BLVD STE 210A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212152",
            "telephone_number": "757-228-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PORTSMOUTH BLVD STE 210A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212152",
            "telephone_number": "757-228-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "TANISHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "VA",
            "license": "0001307384",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "VA",
            "license": "HCO253230",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO253230",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": "HCO253230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.