Bay Health & Wellness, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

BAY HEALTH & WELLNESS, LLC

Practice address

399 5TH St SE
Red Bay, AL 35582-4192

Phone

(256) 376-2036

Fax

(256) 376-2064

NPI assigned

Nov 23, 2019

Organization subpart

No

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

Authorized official

Name

Kayla Humphries, NPNPI 1487079711

Title

Owner

Phone

(256) 376-2036

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20641/brand/1/csg/1/fhir/r4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayla Marie Humphries, CRNP

  • Nurse Practitioner
  • Red Bay, AL
  • NPI 1487079711

  AL, Nurse Practitioner

  Medicare reassignment Care Compare group NPD Authorized official
• Kaitlin Paige Gresham, CRNP

  • Family Nurse Practitioner
  • Red Bay, AL
  • NPI 1316527682

  AL

  Medicare reassignment Care Compare group NPD
• Chenyi Jeffrey Chenyi, MD

  • Family Medicine Physician
  • Russellville, AL
  • NPI 1922387299
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1574467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574467200000",
    "number": "1760028864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 5TH ST SE",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355824192",
            "telephone_number": "256-376-2036",
            "fax_number": "256-376-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 5TH ST SE",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355824192",
            "telephone_number": "256-376-2036",
            "fax_number": "256-376-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-23",
        "last_updated": "2019-11-23",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIES",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-376-2036",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arabella Health & Wellness of Red Bay Opco LLC
• Deborah Barnett, LPTA
• Bay Tree Family Care, P.C.
• Cavalier Healthcare of Red Bay LLC
• Billy Yu-Ping Chiou, MD
• Christine L Cleveland, PHARM.D.
• Richard Clarence Clifton III, D.C.

• All providers in Red Bay, AL
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.