Individual provider Active NPI

Aisha Donine Bailey, D.O.

  • Pediatrics Physician
  • Tallahassee, FL
National Provider Identifier
1750645255
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS13611 Issued in FL
Practice address
3375 Capital Cir NE BLDG D
Tallahassee, FL 32308-3778
Phone
(850) 878-0229
Fax
(850) 942-5837
NPI assigned
Jun 28, 2012
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OS13611 FL Primary
Pediatrics Physician 208000000X 25MB09108000 NJ

Addresses

Primary practice location

3375 Capital Cir NE BLDG D
Tallahassee, FL 32308-3778

Mailing address

3375 Capital Cir NE BLDG D
Tallahassee, FL 32308-3778
Phone (850) 878-0229

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS13611FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adb Medical Services of N FL LLC Pediatrics Current Accepting new patients
Alfreda D. Blackshear, M.D. Past Accepting new patients

Locations

3375 Capital Cir NE
Bldg D
Tallahassee, FL 32308
Phone (850) 385-4346

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1750645255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 CAPITAL CIR NE BLDG D",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083778",
            "telephone_number": "850-878-0229",
            "fax_number": "850-942-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 CAPITAL CIR NE BLDG D",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083778",
            "telephone_number": "850-878-0229",
            "fax_number": "850-942-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "AISHA",
        "middle_name": "DONINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS13611",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB09108000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.