Active NPI
M Judy Bailey, CRNA
- Certified Registered Nurse Anesthetist
- Harrisburg, PA
National Provider Identifier
1669574786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN-223850-L
- Practice address
- 111 S Front St
Harrisburg, PA 17101-2010 - Phone
- (717) 782-5470
- Fax
- (717) 782-5820
- NPI assigned
- Sep 1, 2006
- Last updated
- May 29, 2009
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN-223850-L | PA | Primary |
| Registered Nurse | 163W00000X | RN223850L | PA |
Addresses
Primary practice location
111 S Front St
Harrisburg, PA 17101-2010
Mailing address
118 Washington St
Harrisburg, PA 17104-1677
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1436506 | Other | BLUE SHIELD | |
| 430058228 | Medicaid | PA | |
| CC9810 | Other | RR GROUP # |
Other names 1
- Martha Judy Bailey
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-223850-L | PA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243555200000",
"number": "1669574786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 WASHINGTON ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S FRONT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171012010",
"telephone_number": "717-782-5470",
"fax_number": "717-782-5820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "M",
"middle_name": "JUDY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2009-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN-223850-L",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN223850L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1436506",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "430058228",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR GROUP #",
"identifier": "CC9810",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARTHA",
"last_name": "BAILEY",
"middle_name": "JUDY",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.