Brynn Rebecca Bailey

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3280 W 3500 S Ste E
West Valley City, UT 84119-2668

Phone

(801) 349-8645

NPI assigned

Aug 9, 2023

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2023.

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1437832011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10338 S CARR FORK RD",
            "city": "COPPERTON",
            "state": "UT",
            "postal_code": "840065503",
            "telephone_number": "801-349-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 W 3500 S STE E",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841192668",
            "telephone_number": "801-349-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "BRYNN",
        "middle_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Axis Chiropractic & Massage Clinic, LLC
• Axon Injury Clinic LLC
• Imran Aziri
• Andrea CHI-Ling Bae, CCC-SLP
• Erica Nancy Baiden, MD
• Jeremy Bailey, LMFT
• Brent L Baker
• William J Baker
• Laura Ballesteros
• J David Bane, MD

• All providers in West Valley City, UT
• Community Health Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.