Kristine Bailey, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F401349-1 Issued in NY

Practice address

305 E Fairmount Ave
Ste 7
Lakewood, NY 14750-2000

Phone

(716) 483-2603

Fax

(716) 526-4161

NPI assigned

Nov 15, 2007

Last updated

Nov 30, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jamestown Psychiatric PCGroup PAC ID 0244314631, 15 clinicians

Upmc Chautauqua at WcaGroup PAC ID 4385630342, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbailey29996@upmc.direct-ci.com
• Direct secure messaging: kristine.bailey@upmcdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Upmc Chautauqua at Wca

  dba UPMC Chautauqua WCA

  • Hematology & Oncology Physician
  • Jamestown, NY
  • NPI 1295033298
  Medicare reassignment Care Compare group NPD
• Jamestown Psychiatric PC

  • Child & Adolescent Psychiatry Physician
  • Jamestown, NY
  • NPI 1700062247
  Medicare reassignment Care Compare group
• Olean General Hospital

  • General Practice Physician
  • Bradford, PA
  • NPI 1649296781

  NY, Psychiatric/Mental Health

  Medicare reassignment NPD
• Olean General Hospital

  dba Foothills Medical Group

  • General Practice Physician
  • Olean, NY
  • NPI 1033499017
  NPD
• Upmc Chautauqua at Wca

  dba UPMC Chautauqua WCA

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Jamestown, NY
  • NPI 1568023687
  NPD
• Jamestown Psychiatric PC

  • Psychiatry Physician
  • Ridgway, PA
  • NPI 1003505132
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1669653952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E FAIRMOUNT AVE",
            "address_2": "STE 7",
            "city": "LAKEWOOD",
            "state": "NY",
            "postal_code": "147502000",
            "telephone_number": "716-483-2603",
            "fax_number": "716-526-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E FAIRMOUNT AVE",
            "address_2": "STE 7",
            "city": "LAKEWOOD",
            "state": "NY",
            "postal_code": "147502000",
            "telephone_number": "716-483-2603",
            "fax_number": "716-526-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "KRISTINE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401349-1",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "564481",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Israr A Abbasi, MD
• Nancy L Allshouse, LMHC
• Kelly Elizabeth Anderson
• Julie Apperson, PMHNP
• James Lawrence Barr, LMT
• Stephen C Barresi, PA-C
• Shannon Lee Blaisdell, RN
• Eric Gregory Braun, LMSW, CCFC
• Casey Brown, NP

• Psychiatric/Mental Health Nurse Practitioner in Lakewood, NY
• Providers in Lakewood, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.
• 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.

Verify at the official NPI Registry.