Active NPI
Corinna Marie Bayes, AGACNP-BC
- Gerontology Nurse Practitioner
- Dayton, OH
National Provider Identifier
1508594169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN.CNP.0032124
- Practice address
- 405 W Grand Ave
Dayton, OH 45405-7538 - Phone
- (937) 723-3200
- NPI assigned
- Aug 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP.0032124 | OH | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN.CNP.0032124 | OH | Primary |
Addresses
Primary practice location
405 W Grand Ave
Dayton, OH 45405-7538
Mailing address
2525 Seneca Dr
Troy, OH 45373-9558
Phone (513) 978-6536
Other names 1
- Corinna Marie Stradling
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbayes812369@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0032124 | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Current | Accepting new patients |
Locations
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1508594169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 SENECA DR",
"city": "TROY",
"state": "OH",
"postal_code": "453739558",
"telephone_number": "513-978-6536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W GRAND AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454057538",
"telephone_number": "937-723-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYES",
"first_name": "CORINNA",
"middle_name": "MARIE",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-11",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "APRN.CNP.0032124",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "APRN.CNP.0032124",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cbayes812369@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "405 W Grand Ave",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454057538",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "405 W Grand Ave",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454057538",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CORINNA",
"last_name": "STRADLING",
"middle_name": "MARIE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.