Individual provider Active NPI

Leslie Marie Bailey, RSA

  • Surgical Assistant
  • Marseilles, IL
National Provider Identifier
1962610386
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
238.000115 Issued in IL
Practice address
502 Main St
Marseilles, IL 61341-1419
Phone
(815) 513-3654
Fax
(815) 795-2111
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 238.000115 IL Primary

Addresses

Primary practice location

502 Main St
Marseilles, IL 61341-1419

Mailing address

533 Cody LN
Braidwood, IL 60408-1775
Phone (815) 671-2140

Other names 1

  • Leslie Marie Bailey Professional name

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

LicenseStateTypeSpecialty
238.000115ILMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois State Surgical Assistants Inc Surgical Assistant Current Accepting new patients
Neurocyst Incorporated Past Accepting new patients
Epic Surgical Solutions LLC Past Accepting new patients
Fred Fisher Past Accepting new patients

Locations

502 Main St
Marseilles, IL 61341
Phone (815) 513-3654

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1962610386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 CODY LN",
            "city": "BRAIDWOOD",
            "state": "IL",
            "postal_code": "604081775",
            "telephone_number": "815-671-2140",
            "fax_number": "815-795-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MAIN ST",
            "city": "MARSEILLES",
            "state": "IL",
            "postal_code": "613411419",
            "telephone_number": "815-513-3654",
            "fax_number": "815-795-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "LESLIE",
        "middle_name": "MARIE",
        "credential": "RSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238.000115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "BAILEY",
            "middle_name": "MARIE",
            "credential": "RSA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Marseilles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.