Justin Bailey
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Taos, NM
NPI 1881479871 · NPPES record last updated Dec 22, 2023
Key facts
- NPI
- 1881479871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 105 Bertha Rd Ste B
Taos, NM 87571-7148 - Phone
- (575) 758-4297
- NPI assigned
- Aug 28, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
105 Bertha Rd Ste B
Taos, NM 87571-7148
Mailing address
7193 Highway 518
Ranchos de Taos, NM 87557-9758
Other providers in Taos, NM
- Sage Asplund
- Fabiola Atilano
- Anahi Avilez
- Samantha Baca
- Jana Bailey
- Lauren Bailey
- Stephen James Balise
- Beatric E Balsamo
- Franklin Dennis Bardin
- Stephanie Lynn Barnes
All providers in Taos, NM · Student in an Organized Health Care Education/Training Program in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.