Individual provider Active NPI

Bailey Massey, MA CCC SLP

  • Speech-Language Pathologist
  • Castle Rock, CO
National Provider Identifier
1457010217
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0004529 Issued in CO
Practice address
2661 Castle Crest Dr
Castle Rock, CO 80104-8908
Phone
(818) 314-4273
NPI assigned
Dec 9, 2021
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 19379 CA
Speech-Language Pathologist 235Z00000X 0004529 CO Primary

Addresses

Primary practice location

2661 Castle Crest Dr
Castle Rock, CO 80104-8908

Mailing address

2661 Castle Crest Dr
Castle Rock, CO 80104-8908
Phone (818) 314-4273

Other names 1

  • Bailey Duemmel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220720000611 CO Practitioner - Qualified Speech Language Pathologist 7618358839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0004529COMDSpeech-Language Pathologist
19379CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Therapy Co LLC Speech-Language Pathologist CurrentSince Jun 15, 2022 Accepting new patients

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": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1457010217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 CASTLE CREST DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801048908",
            "telephone_number": "818-314-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 CASTLE CREST DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801048908",
            "telephone_number": "818-314-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "BAILEY",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19379",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0004529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAILEY",
            "last_name": "DUEMMEL",
            "credential": "MA CCC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.