Active NPI
Misty Bailey
- Registered Nurse
- Cross Lanes, WV
National Provider Identifier
1760113658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 105601
- Practice address
- 5512 Big Tyler Rd
Cross Lanes, WV 25313-1304 - Phone
- (304) 766-9830
- NPI assigned
- Jun 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 105601 | WV | Primary |
Addresses
Primary practice location
5512 Big Tyler Rd
Cross Lanes, WV 25313-1304
Mailing address
5512 Big Tyler Rd
Cross Lanes, WV 25313-1304
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 |
|---|---|---|---|
| 105601 | WV | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Home Care Services, Inc. | Current | Accepting new patients |
Locations
5512 Big Tyler Rd
Cross Lanes, WV 25313
Phone (304) 766-9830
Organizations & group practices 1
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.
-
- Personal Care Attendant
- Cross Lanes, WV
- NPI 1538671896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1760113658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5512 BIG TYLER RD",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "253131304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5512 BIG TYLER RD",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "253131304",
"telephone_number": "304-766-9830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "MISTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-21",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "105601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cross Lanes, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.