MRS. LARISSA L BAILEY (NPI# 1598766768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598766768 |
| Entity Type | Individual |
| Full Name | MRS. LARISSA L BAILEY |
| Credential | ARNP |
| Practice Address |
1655 East Hwy 3094 East Bernstadt KY 40729 |
| Mailing Address |
Po Box 328 East Bernstadt KY 40729 |
| Practice Telephone | 6068432339 |
| Practice Fax Number | 6068436815 |
| Mailing Telephone | 6068432339 |
| Mailing Fax Number | 6068436815 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2010-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4075P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4075P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4075P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RR MEDICARE GROUP | CB5773 | 01 |
| KY | MEDICARE LAB GROUP | 4000501 | 01 |
| KY | MEDICAID LAB GROUP | 37903705 | 01 |
| KY | 78010170 | 05 |
| Street Address |
1655 EAST HWY 3094 |
| City | EAST BERNSTADT |
| State | KY |
| Zip Code | 40729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235671165 | Frankie Lee Soto | Counselor | 2130 Farris Jones Rd, East Bernstadt, KY 40729 | 2016-11-09 |
| 1689812208 | William T. Petrey, Dmd | Dentist | 2725 Us Hwy 25 North, E. Bernstadt, KY 40729 | 2009-02-04 |
| 1417158270 | Regina Little | Case Manager/Care Coordinator | 115 Hellard Rd, East Bernstadt, KY 40729 | 2007-05-30 |
| 1366505992 | Teresa Partin Morton | Optometrist | 2647 N Us Hwy 25, East Bernstadt, KY 40729 | 2006-12-18 |
| 1558468868 | Thompson Drug East Bernstadt | Durable Medical Equipment & Medical Supplies | 1088 Hwy 490, East Bernstadt, KY 40729 | 2006-09-20 |
| 1144323221 | William Todd Petrey | Dentist | 2725 Us Hwy 25 N, East Bernstadt, KY 40729 | 2006-09-06 |
| 1407990542 | Three Stores Inc | Pharmacy | 2659 N Laurel Rd, East Bernstadt, KY 40729 | 2007-02-19 |
| 1275632721 | Gina Lou Sherrow | Pharmacist | 1088 Hwy 490, East Bernstadt, KY 40729 | 2006-09-21 |
| 1508914359 | East Bernstadt Independent School District | Local Education Agency (LEA) | 229 School Street, East Bernstadt, KY 40729-0128 | 2007-01-08 |
| 1649709338 | Samantha Brooke Hays | Family Medicine | 2659 North Laurel Rd, East Bernstadt, KY 40729-0495 | 2017-06-07 |
| Find all providers in zip 40729 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063723450 | Elizabeth Lee Boggs | Nurse Practitioner | 2659 North Laurel Road, East Bernstadt, KY 40729-0495 | 2010-06-30 |
| 1962808048 | Katie Grubb | Nurse Practitioner | 1655 E Highway 3094, East Bernstadt, KY 40729-6216 | 2014-11-17 |
| 1043339708 | Dennis A Ulrich | Nurse Practitioner | 1655 E Highway 3094, East Bernstadt, KY 40729-6216 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891645 | K Tierney Lanham LLC | Nurse Practitioner | 6431 Regency Ln, Louisville, KY 40207-2309 | 2020-11-06 |
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1124626700 | Mind & Body Wellness | Nurse Practitioner | 105 Bob White Path, Georgetown, KY 40324-6169 | 2020-10-15 |
| 1902404759 | Cassie Parr | Nurse Practitioner | 57 Melissa Branch Rd, Ary, KY 41712-8716 | 2020-10-14 |
| 1649877275 | Kristy Faith Statzer | Nurse Practitioner | 7533 Russellville Rd, Morgantown, KY 42261-9625 | 2020-10-06 |
| 1124635446 | Tori Crabtree | Nurse Practitioner | 1511 Valley Dr, Flatwoods, KY 41139-1889 | 2020-09-30 |
| 1518574235 | Margaret E Lambert | Nurse Practitioner | 2241 Abbeywood Rd, Lexington, KY 40515-1157 | 2020-09-27 |
| 1003422270 | Victoria Weis | Nurse Practitioner | 9301 Dayflower St Ste 100, Prospect, KY 40059-7585 | 2020-09-22 |
| 1598370694 | Candace Jones-martin | Nurse Practitioner | 111 Osbourne Way # 101, Georgetown, KY 40324-8004 | 2020-09-15 |
| 1588274161 | Karyn Michele Bentley | Nurse Practitioner | 210 Hoagland Hill Rd, Mount Washington, KY 40047-7583 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | EAST BERNSTADT |
| Zip Code | 40729 |
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| 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.