Jordan Bailey

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1100 9TH St Ste D
Vienna, WV 26105-2176

Phone

(304) 428-6148

NPI assigned

Sep 23, 2021

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2021.

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1558032235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 9TH ST STE D",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261052176",
            "telephone_number": "304-428-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 9TH ST STE D",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261052176",
            "telephone_number": "304-428-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athena Health Center, LLC
• John Russell Atkinson, MS
• Tammy Backus
• Seyoum Daffo Bage, M.D.
• Patricia Kwartengmaa Baidoo, PHARMD
• Markeylia Bailey
• Brandi Bain, BA
• Bryan Baker
• Wyatt Edward Baker
• Angel Baldwin

• All providers in Vienna, WV
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.