Individual provider 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
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
18697 Bagley Rd
Middleburg Heights, OH 44130-3497
Phone
(440) 816-8000
NPI assigned
Jun 15, 2009
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
AT002546OHMDAthletic Trainer

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.