Active NPI
Leah Bailiff, NP
- Neonatal Nurse Practitioner
- Knoxville, TN
National Provider Identifier
1629112990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 11582
- Practice address
- 1930 Alcoa Hwy Ste 145
Knoxville, TN 37920 - Phone
- (865) 582-3123
- Fax
- (865) 305-5857
- NPI assigned
- Feb 19, 2007
- 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 11582 | TN | Primary |
Addresses
Primary practice location
1930 Alcoa Hwy Ste 145
Knoxville, TN 37920
Mailing address
PO Box 699
Mountain Home, TN 37684-0699
Phone (423) 433-6039
Other practice location 1
400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APN11582 | Other | TN | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11582 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holston Medical Group PC | Nurse Practitioner | Current | Accepting new patients |
| Mission Health Community Multispecialty Providers, LLC | Current | Accepting new patients | |
| Mission Health Community Multispecialty Providers, LLC | Current | Accepting new patients | |
| Mission Community Anesthesiology Specialists LLC | Current | Accepting new patients |
Locations
509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925
Interoperability endpoints
- leahbailiff@hmgpath.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Asheville, NC
- NPI 1457719130
-
- Certified Respiratory Therapist
- Asheville, NC
- NPI 1528538766
-
- Internal Medicine Physician
- Arden, NC
- NPI 1366912586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545350400000",
"number": "1629112990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 699",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "376840699",
"telephone_number": "423-433-6039",
"fax_number": "423-433-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 ALCOA HWY STE 145",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37920",
"telephone_number": "865-582-3123",
"fax_number": "865-305-5857"
}
],
"practiceLocations": [
{
"address_1": "400 N State Of Franklin Rd",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046035",
"country_code": "US",
"telephone_number": "423-431-6671",
"fax_number": "423-431-3681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILIFF",
"first_name": "LEAH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2018-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "TN",
"license": "11582",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "APN11582",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.