NPIMap

Organization Active NPI

Avaesen Healthcare Inc

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1508521428
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
AVAESEN HEALTHCARE INC
Practice address
5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344
Phone
(443) 692-7241
Fax
(800) 571-0474
NPI assigned
Nov 4, 2021
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Dr. Felicia Dalphine Bailey, DNP, MSN, FNP-CNPI 1801365101
Title
Chief Executive Officer/President
Phone
(443) 203-8681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344

Mailing address

5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344
Phone (443) 203-8681

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fbailey@avaesenhealthcare.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211228002413 MD Part B Supplier - Clinic/Group Practice 9436540549 Receives reassigned benefits from 1 practitioner
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory
Tax ID family
Avaesen Healthcare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1508521428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BUCKEYSTOWN PIKE STE 250",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048344",
            "telephone_number": "443-203-8681",
            "fax_number": "800-571-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 BUCKEYSTOWN PIKE STE 250",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048344",
            "telephone_number": "443-692-7241",
            "fax_number": "800-571-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVAESEN HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "DALPHINE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/PRESIDENT",
        "authorized_official_telephone_number": "443-203-8681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, MSN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fbailey@avaesenhealthcare.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5100 Buckeystown Pike Ste 250",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217048344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.