NPIMap

Organization Active NPI

Avaesen Healthcare Inc

  • Addiction (Substance Use Disorder) Registered Nurse
  • Frederick, MD
National Provider Identifier
1871369926
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
Legal business name
AVAESEN HEALTHCARE INC
Practice address
5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344
Phone
(301) 639-2936
NPI assigned
Nov 29, 2023
Organization subpart
Yes
Parent organization
AVAESEN HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Felicia Dalphine BaileyNPI 1801365101
Title
Ceo
Phone
(443) 203-8681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WA0400X Primary

Addresses

Primary practice location

5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344

Mailing address

5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344
Phone (443) 203-8681

Other identifiers 1

IdentifierTypeStateIssuer
888797700MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fbailey@avaesenhealthcare.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Avaesen Healthcare Inc3 organizations share this tax ID, including this one
Part of
Avaesen Healthcare Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1871369926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BUCKEYSTOWN PIKE STE 250",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048344",
            "telephone_number": "443-203-8681",
            "fax_number": "800-571-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 BUCKEYSTOWN PIKE STE 250",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048344",
            "telephone_number": "301-639-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVAESEN HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVAESEN HEALTHCARE INC",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "DALPHINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-203-8681"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888797700",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fbailey@avaesenhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5100 Buckeystown Pike Ste 250",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217048344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.