Active NPI
Raquisha Lynnette Bailey-King, MED, ATC, DPM
- Student in an Organized Health Care Education/Training Program
- Middleburg Heights, OH
National Provider Identifier
1568699825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 18697 Bagley Rd
Middleburg Heights, OH 44130-3497 - Phone
- (440) 816-8000
- NPI assigned
- Jun 15, 2009
- Last updated
- Jun 6, 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary | |
| Athletic Trainer | 2255A2300X | AT002546 | OH |
Addresses
Primary practice location
18697 Bagley Rd
Middleburg Heights, OH 44130-3497
Mailing address
4734 E 88TH St
Garfield Heights, OH 44125-1336
Phone (216) 798-9332
Other practice location 1
551 E Washington St
Suite 108
Chagrin Falls, OH 44022-4403
Phone (440) 542-6850
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rbaile22@kent.edu | Direct |
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)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT002546 | OH | MD | Athletic Trainer |
Interoperability endpoints
- raquisha.baileyking.p1@direct.saintjosephs.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1568699825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4734 E 88TH ST",
"city": "GARFIELD HEIGHTS",
"state": "OH",
"postal_code": "441251336",
"telephone_number": "216-798-9332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18697 BAGLEY RD",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441303497",
"telephone_number": "440-816-8000"
}
],
"practiceLocations": [
{
"address_1": "551 E Washington St",
"address_2": "Suite 108",
"address_purpose": "LOCATION",
"city": "Chagrin Falls",
"state": "OH",
"postal_code": "440224403",
"country_code": "US",
"telephone_number": "440-542-6850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY-KING",
"first_name": "RAQUISHA",
"middle_name": "LYNNETTE",
"credential": "MED, ATC, DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-15",
"last_updated": "2022-06-06",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT002546",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rbaile22@kent.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "18697 Bagley Rd",
"city": "Middleburg Heights",
"state": "OH",
"country_code": "US",
"postal_code": "441303497",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Middleburg Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.