Latasha Nicole Bailey

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8430 W Lake Mead Blvd Ste 114
Las Vegas, NV 89128-7672

Phone

(702) 576-9891

NPI assigned

Sep 7, 2017

Last updated

Aug 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1881112126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 BALZAR AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891083101",
            "telephone_number": "702-666-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 W LAKE MEAD BLVD STE 114",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287672",
            "telephone_number": "702-576-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "LATASHA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1603214099",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Shelley Bailey
• Juilian Bailey
• Kathryn Ann Bailey
• Keenan Bailey
• Kristen Bailey
• Latoya Bailey, NP
• Lisa Bailey
• Marshay Bailey
• Maurice Bailey
• Mechelle Bailey

• Behavior Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.