Active NPI
Ashley M Bailey, RA
- Prevention Professional
- Wilmington, OH
National Provider Identifier
1902343239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- RA-4614
- Practice address
- 953 S South St
Wilmington, OH 45177-2921 - Phone
- (937) 383-4441
- Fax
- (937) 383-2916
- NPI assigned
- Jan 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | RA-4614 | OH | Primary |
Addresses
Primary practice location
953 S South St
Wilmington, OH 45177-2921
Mailing address
204 Cook Rd
Suite 400
Lebanon, OH 45036-9600
Phone (513) 228-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RA-4614 | OH | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1902343239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 COOK RD",
"address_2": "SUITE 400",
"city": "LEBANON",
"state": "OH",
"postal_code": "450369600",
"telephone_number": "513-228-7800",
"fax_number": "513-725-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "953 S SOUTH ST",
"city": "WILMINGTON",
"state": "OH",
"postal_code": "451772921",
"telephone_number": "937-383-4441",
"fax_number": "937-383-2916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "ASHLEY",
"middle_name": "M",
"credential": "RA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-25",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "OH",
"license": "RA-4614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.