Active NPI
Kathi Rich Bailey, NP
- Nurse Practitioner
- Eva, AL
National Provider Identifier
1528055852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1085894
- Practice address
- 4208 B Eva Rd
Eva Health Center
Eva, AL 35621 - Phone
- (256) 796-5260
- Fax
- (256) 796-4639
- NPI assigned
- Oct 3, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1085894 | AL | Primary |
Addresses
Primary practice location
4208 B Eva Rd
Eva Health Center
Eva, AL 35621
Mailing address
PO Box 1108
Cullman, AL 35056-1108
Phone (256) 737-2882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1085894 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Family Health Clinic | Nurse Practitioner | Past | Accepting new patients |
| Preferred Family Healthcare, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Rural Health Clinic/Center
- Albertville, AL
- NPI 1740295542
Nurse Practitioner
-
- Rural Health Clinic/Center
- Albertville, AL
- NPI 1386966422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528055852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1108",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350561108",
"telephone_number": "256-737-2882",
"fax_number": "256-737-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4208 B EVA RD",
"address_2": "EVA HEALTH CENTER",
"city": "EVA",
"state": "AL",
"postal_code": "35621",
"telephone_number": "256-796-5260",
"fax_number": "256-796-4639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "KATHI",
"middle_name": "RICH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1085894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eva, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.