Kathleen Bailey, CBHT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

5018 Issued in FL

Practice address

1407 Dixon Blvd
Cocoa, FL 32922-6411

Phone

(321) 452-0800

NPI assigned

Mar 26, 2013

Sex

Female

Sole proprietor

No

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.

• Crosswinds Youth Services

  • Case Management Agency
  • Cocoa, FL
  • NPI 1407100027
  NPD (past)
• Crosswinds Youth Services, Inc.

  • Community/Behavioral Health Agency
  • Cocoa, FL
  • NPI 1245404375
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 26, 2013.

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1962744151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 DIXON BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226411",
            "telephone_number": "321-452-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 DIXON BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226411",
            "telephone_number": "321-452-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "KATHLEEN",
        "credential": "CBHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "5018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inbal Bader
• Raymond C Baez, M.D.
• Zoila Isabel Baez, D.M.D.
• Brad A Bagwell, D.M.D., P.A.
• Odilie Bagwell, AU. D CCC-A
• Rosa Baires
• Meaghan Ballou
• Nicholas Bandoian, RBT
• Pierre Bandoo
• Kathleen M Banks

• All providers in Cocoa, FL
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.