Active NPI
Lafayette College
Doing business as Bailey Health Center
- Non-Pharmacy Dispensing Site
- Easton, PA
National Provider Identifier
1629151956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- MD045009E
- Legal business name
- LAFAYETTE COLLEGE
- Doing business as
- Bailey Health Center
- Practice address
- 607 High St
Easton, PA 18042-7641 - Phone
- (610) 330-5001
- Fax
- (610) 330-5704
- NPI assigned
- Oct 23, 2006
- Last updated
- Oct 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Direndia Shackelford
- Title
- Managed Care Specialist
- Phone
- (800) 654-0889
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | MD045009E | PA | Primary |
Addresses
Primary practice location
607 High St
Easton, PA 18042-7641
Mailing address
607 High St
Easton, PA 18042-7641
Phone (610) 330-5001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3974741 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- BAILEY HEALTH CENTER
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0716764 | Bailey Health Center | Certificate of waiver | Nov 18, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Easton, PA
- NPI 1457539355
-
- Emergency Medicine Physician
- Easton, PA
- NPI 1235284670
-
- Hospitalist Physician
- Allentown, PA
- NPI 1487849519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223510400000",
"number": "1629151956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 HIGH ST",
"city": "EASTON",
"state": "PA",
"postal_code": "180427641",
"telephone_number": "610-330-5001",
"fax_number": "610-330-5704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 HIGH ST",
"city": "EASTON",
"state": "PA",
"postal_code": "180427641",
"telephone_number": "610-330-5001",
"fax_number": "610-330-5704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAFAYETTE COLLEGE",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2008-10-09",
"status": "A",
"authorized_official_last_name": "SHACKELFORD",
"authorized_official_first_name": "DIRENDIA",
"authorized_official_title_or_position": "MANAGED CARE SPECIALIST",
"authorized_official_telephone_number": "800-654-0889"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "PA",
"license": "MD045009E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3974741",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BAILEY HEALTH CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.