Nicole Bailey, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3011081 Issued in KY

Practice address

816 Ireland School Rd
Radcliff, KY 40160-9338

Phone

(270) 877-6745

NPI assigned

Feb 2, 2017

Last updated

Feb 2, 2017By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Astra Behavioral Health LLCGroup PAC ID 0749406577, 35 clinicians

United Healthcare of Hardin IncGroup PAC ID 2062403017, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Astra Behavioral Health LLC

  • Psychiatry Physician
  • Elizabethtown, KY
  • NPI 1922427517

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• United Healthcare of Hardin, Inc

  dba Lincoln Trail Behavioral Health System

  • Clinical Social Worker
  • Radcliff, KY
  • NPI 1851500466
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1912445651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 IRELAND SCHOOL RD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401609338",
            "telephone_number": "270-877-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 IRELAND SCHOOL RD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401609338",
            "telephone_number": "270-877-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "NICOLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3011081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keila Renee Armes, PHARMD
• Shantel Atkins, RBT
• Jennifer Lynn Ayotte, PHYSICAL THERAPIST
• Norman Wayne Ayotte Jr., PT
• Keith Alan Bailey, RPH
• Tywahneikai Lashae Bailey, CERT HAIR LOSS SPEC
• Karen M Baker, LMFTA
• Samantha Jane Baker, APRN
• Jessica Lynn Ballard
• Baptist Health Medical Group Inc

• Psychiatric/Mental Health Nurse Practitioner in Radcliff, KY
• Providers in Radcliff, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.