MRS. MICHELLE A BAILEY (NPI# 1497922090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497922090 |
Entity Type | Individual |
Full Name | MRS. MICHELLE A BAILEY |
Credential | R.N., NP-C |
Practice Address |
6108 Maplecrest Road Fort Wayne IN 46835 |
Mailing Address |
1234 E Dupont Rd Suite 1 Fort Wayne IN 46825-1545 |
Practice Telephone | 2604863300 |
Practice Fax Number | 2604903807 |
Mailing Telephone | 2603739700 |
Mailing Fax Number | 2603739740 |
Enumeration Date | 2008-05-13 |
Last Update Date | 2013-03-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 28158098A | IN | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71002670A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | ANTHEM | 000000617878 | 01 |
IN | ANTHEM | 000000617879 | 01 |
IN | 200905320 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275011645 | Michelle Y Bailey | Counselor | 3725 Belfort Rd, Jacksonville, FL 32216-5813 | 2018-07-30 |
1710396577 | Michelle Bailey | Social Worker | 900 3rd St, Suite 202, Muskegon, MI 49440-1135 | 2014-08-06 |
1134546781 | Michelle Christine Bailey | Nurse Practitioner | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2014-03-20 |
1649613779 | Michelle Dian Bailey | Pediatrics | 2530 Scripture St, Denton, TX 76201-4317 | 2013-04-08 |
1023350923 | Michelle Lee Bailey | Internal Medicine | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2013-03-19 |
1528323342 | Michelle Lynne Bailey | Emergency Medicine | 300 E Hospital Rd, 11c-17, Fort Gordon, GA 30905 | 2012-07-09 |
1811142391 | Michelle Lea Bailey | Nurse Practitioner | 530 S Jackson St, Trauma Institute, Louisville, KY 40202-1675 | 2008-11-25 |
1447376991 | Michelle M Bailey | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2007-03-22 |
1043341738 | Michelle Marie Bailey | Dentist | 6514 20th Ave, Brooklyn, NY 11204-3908 | 2007-03-07 |
1275686651 | Michelle Lynne Bailey | Counselor | 1500 Broadway St, Buffalo, NY 14212-1845 | 2007-01-19 |
Street Address |
6108 MAPLECREST ROAD |
City | FORT WAYNE |
State | IN |
Zip Code | 46835 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760993810 | Longe Enterprises Corp | Eyewear Supplier (Equipment, not the service) | 5711 Ymca Park Dr East, Fort Wayne, IN 46835 | 2017-10-17 |
1801144464 | Tracey Gordon | Physical Therapy Assistant | 2827 Northgate Boulevard, Fort Wayne, IN 46835 | 2012-08-29 |
1316179682 | Janet L Daniel | Counselor | 310 E Dupont Road, Suite 2, Fort Wayne, IN 46835 | 2009-08-20 |
1083868863 | Nicholas Joseph Sullivan | Chiropractor | 8320 Chapel Bend Drive, Fort Wayne, IN 46835 | 2008-11-06 |
1073789954 | Charles Arthur Bolinger | Technician, Other | 4546 Maplecrest Rd, Ft Wayne, IN 46835 | 2008-05-01 |
1851469878 | Richard J Klaehn | Optometrist | 4536 Maplecrest Road, Ft. Wayne, IN 46835 | 2006-11-30 |
1639272339 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 6220 St Joseph Center Rd, Fort Wayne, IN 46835 | 2006-09-07 |
1275649014 | Adrienne Meyer | Pharmacist | 7909 Brixham Place, Fort Wayne, IN 46835 | 2006-08-22 |
1750378147 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4430 Elsdale Dr, Fort Wayne, IN 46835 | 2005-09-30 |
1881940617 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2827 Northgate Blvd, Fort Wayne, IN 46835 | 2012-07-30 |
Find all providers in zip 46835 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
1669081618 | Carly Ann Nahrwold | Nurse Practitioner | 7025 Old Trail Rd # 9574, Fort Wayne, IN 46809-2713 | 2020-07-27 |
1932725942 | Health Essential LLC | Nurse Practitioner | 3030 Lake Ave Ste 14, Fort Wayne, IN 46805-5428 | 2020-06-25 |
1942824842 | Carissa Miller | Nurse Practitioner | 707 Rollingwood Ln, Fort Wayne, IN 46845-1088 | 2020-06-05 |
1891329819 | Jasmine Monae Tubbs | Nurse Practitioner | 875 Petal Way, Fort Wayne, IN 46816-8900 | 2020-02-28 |
1235780362 | Elizabeth Rose Lichtsinn | Nurse Practitioner | 3919 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-6811 | 2019-09-20 |
1033676275 | Amanda Warner | Nurse Practitioner | 2229 Woods Rd, Fort Wayne, IN 46818-9539 | 2019-02-25 |
1669940714 | Brookelyn Agler | Nurse Practitioner | Summit Radiology, PC, 5001 Us Highway 30 W, Suite D, Fort Wayne, IN 46818-9701 | 2018-11-07 |
1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46835 |
Please comment or provide details below to improve the information on MRS. MICHELLE A BAILEY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.