Individual provider Active NPI

Cheryl Ann Bailey, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1831257153
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP30007972 Issued in WA
Practice address
4815 N Assembly St
Spokane, WA 99205-6185
Phone
(509) 434-7000
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP30007972 WA Primary

Addresses

Primary practice location

4815 N Assembly St
Spokane, WA 99205-6185

Mailing address

PO Box 1916
Newport, WA 99156-1916
Phone (907) 240-3109

Other practice location 1

107 S Division St
Spokane, WA 99202-1510
Phone (509) 838-4651

Other practice location 2

714 W Pine St
Newport, WA 99156-9046
Phone (509) 447-2441

Other identifiers 1

IdentifierTypeStateIssuer
2035832MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140718002247 WA Practitioner - Nurse Practitioner 4082717780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frontier Behavioral HealthGroup PAC ID 5092603340, 39 clinicians

Practice addresses (Care Compare)

107 S Division St
Spokane, WA 99202-1510
Phone (509) 838-4651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
911AKMDMental Health Counselor
AP30007972WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Behavioral Health Psychiatric/Mental Health CurrentSince Nov 19, 2018 Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Jan 10, 2019 Accepting new patients
Pend Oreille County Public Hospital District No 1 Current Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Jan 10, 2019 Accepting new patients

Locations

714 W Pine St
Newport, WA 99156
Phone (509) 447-2441

505 E North Foothills Dr
Spokane, WA 99207
Phone (509) 325-5502

5125 N Market St
Spokane, WA 99217
Phone (509) 458-7450

2118 E Sprague Ave
Spokane, WA 99202

127 W Boone Ave
Spokane, WA 99201
Phone (509) 720-9513

107 S Division St
Spokane, WA 99202
Phone (509) 383-4651

1401 N Calispel St
Spokane, WA 99201
Phone (406) 740-2150

17 E 1st Ave
Spokane, WA 99202
Phone (206) 866-4213

2102 E Sprague Ave
Spokane, WA 99202

131 S Division St
Spokane, WA 99202
Phone (509) 532-2000

1121 N Argonne Rd
Ste 123
Spokane Valley, WA 99212
Phone (509) 868-4651

920 N Argonne Rd
Ste 203
Spokane Valley, WA 99212

317 N Pines Rd
Spokane Valley, WA 99206

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1831257153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1916",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991561916",
            "telephone_number": "907-240-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 N ASSEMBLY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056185",
            "telephone_number": "509-434-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 S Division St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992021510",
            "country_code": "US",
            "telephone_number": "509-838-4651",
            "fax_number": "509-363-2762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "714 W Pine St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "WA",
            "postal_code": "991569046",
            "country_code": "US",
            "telephone_number": "509-447-2441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30007972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2035832",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.