Organization Active NPI

Lisa Bailey, MD, LLC

  • Psychiatry Physician
  • Ashland, OR
National Provider Identifier
1902986011
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD20457 Issued in OR
Legal business name
LISA BAILEY, MD, LLC
Practice address
565 A St
Suite 200
Ashland, OR 97520-2063
Phone
(541) 482-9492
Fax
(541) 482-9485
NPI assigned
Oct 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lisa Bailey, MDNPI 1912927153
Title
Owner
Phone
(541) 482-9492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD20457 OR Primary

Addresses

Primary practice location

565 A St
Suite 200
Ashland, OR 97520-2063

Mailing address

565 A St
Suite 200
Ashland, OR 97520-2063
Phone (541) 482-9492

National Provider Directory

National Provider Directory

Locations

565 A St
Unit 200
Ashland, OR 97520
Phone (541) 482-9492

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902986011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 A ST",
            "address_2": "SUITE 200",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202063",
            "telephone_number": "541-482-9492",
            "fax_number": "541-482-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 A ST",
            "address_2": "SUITE 200",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202063",
            "telephone_number": "541-482-9492",
            "fax_number": "541-482-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA BAILEY, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-482-9492",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD20457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.