Adaya Alexandra Bayless, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

222015 Issued in TN

Practice address

3234 Miller Ave
Crossville, TN 38555-6116

Phone

(865) 244-0927

Fax

(931) 456-0802

NPI assigned

Feb 4, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: abayless@plateau.opdirect.net

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1801428255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 SHANGRI LA DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379143465",
            "telephone_number": "865-244-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 MILLER AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385556116",
            "telephone_number": "865-244-0927",
            "fax_number": "931-456-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLESS",
        "first_name": "ADAYA",
        "middle_name": "ALEXANDRA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "222015",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "222015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R. Barnawell, M.D.
• Tammera Barnwell, LPN
• Barrington Holdings PLLC
• Darren E Barton, DO
• Tatiana Maria Bauer, LPC-MHSP
• Christy Beck, RN
• Behavioral Diagnostics, LLC
• Christopher M Bell, M.D.
• James L Bell, DPH
• Justin Cody Bell, NP-C

• All providers in Crossville, TN
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.