Jane Ann Bailey

Individual provider Active NPI School Registered Nurse · Charleston, WV

NPI 1760626865 · NPPES record last updated Apr 21, 2009

Key facts

NPI
1760626865
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
66760 (WV)
Practice address
200 Elizabeth St
Charleston, WV 25311-2119
Phone
(304) 348-7740
NPI assigned
Apr 21, 2009
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
66760WVMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kanawha County Schools Past Accepting new patients
Kanawha County Schools Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 66760 WV Yes

Addresses

Primary practice location

200 Elizabeth St
Charleston, WV 25311-2119

Mailing address

501 22ND St
Dunbar, WV 25064-1711

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 21, 2009.

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1760626865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 22ND ST",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250641711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ELIZABETH ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253112119",
            "telephone_number": "304-348-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JANE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WV",
            "license": "66760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

All providers in Charleston, WV · School Registered Nurse in West Virginia

Sources for this page

Verify at the official NPI Registry.