Active NPI
Dale Bailey
- Speech-Language Pathologist
- Fort Kent, ME
National Provider Identifier
1629382239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP910
- Practice address
- 108 Pleasant St
Fort Kent, ME 04743-1576 - Phone
- (207) 834-3484
- Fax
- (207) 834-7357
- NPI assigned
- Aug 6, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP910 | ME | Primary |
Addresses
Primary practice location
108 Pleasant St
Fort Kent, ME 04743-1576
Mailing address
108 Pleasant St
Fort Kent, ME 04743-1576
Phone (207) 834-3484
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP910 | ME | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M.S.a.D.#27 | Past | Accepting new patients | |
| M.S.a.D.#27 | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Fort Kent, ME
- NPI 1124231923
-
- Student in an Organized Health Care Education/Training Program
- Fort Kent, ME
- NPI 1578785846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281052800000",
"number": "1629382239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 PLEASANT ST",
"city": "FORT KENT",
"state": "ME",
"postal_code": "047431576",
"telephone_number": "207-834-3484",
"fax_number": "207-834-7357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 PLEASANT ST",
"city": "FORT KENT",
"state": "ME",
"postal_code": "047431576",
"telephone_number": "207-834-3484",
"fax_number": "207-834-7357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "DALE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-06",
"last_updated": "2010-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Kent, ME
- Americoast Maine LLC
- Aroostook County Action Program (HEALTH 1st)
- Aroostook Pharmacy Inc. (Aroostook Pharmacy LTC)
- Aroostook Pharmacy Inc. (St. John Valley Pharmacy)
- Jeannine Ayotte, SA COUNSELOR LADC
- Balanced Soul Medicine, LLC
- Miguel Barnaby
- Alicia Mary Bernier, RN BSN
- Kasie Blanchette, RN-BSN
- Derek Bonenfant
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.