Toni Shantel Gordon-Bailey, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3014546 Issued in KY

Practice address

615 Old Symsonia Rd
Benton, KY 42025-5042

Phone

(270) 527-4800

Fax

(270) 527-4910

NPI assigned

Apr 4, 2020

Last updated

Jul 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Green Valley Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Paducah, KY
  • NPI 1720755739

  Nurse Practitioner

  Medicare reassignment NPD
• MD Partners, PLLC

  • Emergency Medicine Physician
  • Benton, KY
  • NPI 1902101124

  Nurse Practitioner

  Medicare reassignment NPD
• Pinelake Physician Practice, LLC

  • Rural Health Clinic/Center
  • Mayfield, KY
  • NPI 1295960532
  Medicare reassignment NPD
• VMD Primary Providers Central Kentucky

  • Internal Medicine Physician
  • Murray, KY
  • NPI 1831674654

  Nurse Practitioner

  Medicare reassignment NPD
• Wilson Medical Staffing PLLC

  dba Wilson Medical Staffing

  • Internal Medicine Physician
  • Paducah, KY
  • NPI 1033757638

  Nurse Practitioner

  Medicare reassignment NPD
• Pinelake Physician Practice, LLC

  dba Jackson Purchase Primary Care - Fulton Clinic

  • Rural Health Clinic/Center
  • Fulton, KY
  • NPI 1437623337
  NPD
• Pinelake Physician Practice, LLC

  • Rural Health Clinic/Center
  • Mayfield, KY
  • NPI 1841900347
  NPD
• Primary Care Medical Center Inc

  • Family Medicine Physician
  • Murray, KY
  • NPI 1295716694
  NPD
• VMD Primary Providers Central Kentucky

  dba Village Medical

  • Rural Health Clinic/Center
  • Lebanon, KY
  • NPI 1063120194
  NPD

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1568091270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 OLD SYMSONIA RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420255042",
            "telephone_number": "270-527-4800",
            "fax_number": "270-527-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-BAILEY",
        "first_name": "TONI",
        "middle_name": "SHANTEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-04",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3014546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "marshallcountyhospital.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "615 Old Symsonia Rd",
            "city": "Benton",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420255042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cassie Garrison, OTR/L
• Wendy S. Gibson, O.D.
• Leigh S Gideon, DC
• Rhonda Goins, RPH
• Goldsboro Surgical Associates, PA
• Michael D Gordon, APRN
• Ashley Graham
• Sophia Nichole Greaves, MA, CCC-SLP
• Mindy Leigh Green, PTA
• Timothy Greene

• Nurse Practitioner in Benton, KY
• Providers in Benton, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.

Verify at the official NPI Registry.