Individual provider Active NPI

Katie L. Bailey, NP

  • Adult Medicine Physician
  • Franklinville, NY
National Provider Identifier
1447892872
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
309418 Issued in NY
Practice address
12 S Main St
Franklinville, NY 14737-1224
Phone
(716) 676-2212
Fax
(716) 676-2432
NPI assigned
Oct 17, 2019
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 309418 NY Primary

Addresses

Primary practice location

12 S Main St
Franklinville, NY 14737-1224

Mailing address

535 Main St Ste 1
Olean, NY 14760-1593
Phone (716) 372-0141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191129000210 NY Practitioner - Nurse Practitioner 1759714025 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
309418NYMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olean Medical Practice PLLC Current Accepting new patients
General Physician, PC CurrentSince Jun 1, 2022 Accepting new patients
General Physician, PC CurrentSince Jun 1, 2022 Accepting new patients

Locations

12 S Main St
Franklinville, NY 14737
Phone (716) 676-2212

535 Main St
Olean, NY 14760
Phone (716) 372-0141

535 Main St
Ste 1
Olean, NY 14760
Phone (716) 372-0141

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, 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": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1447892872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MAIN ST STE 1",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601593",
            "telephone_number": "716-372-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S MAIN ST",
            "city": "FRANKLINVILLE",
            "state": "NY",
            "postal_code": "147371224",
            "telephone_number": "716-676-2212",
            "fax_number": "716-676-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "KATIE",
        "middle_name": "L.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "309418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklinville, NY

Sources for this page

Verify at the official NPI Registry.