KYLE SHANE BAILEY (NPI# 1720537475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720537475 |
| Entity Type | Individual |
| Full Name | KYLE SHANE BAILEY |
| Credential | BA |
| Practice Address |
5901 N Lidgerwood St Ste 115 Spokane WA 99208-1122 |
| Mailing Address |
107 S Division St Spokane WA 99202-1510 |
| Practice Telephone | 5098384651 |
| Mailing Telephone | 5098384651 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CG60713626 | WA | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1003 7th Ave, Kirkland, WA 980335779 | 4256583016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073573 | Kyle W Bailey | Physical Therapist | 500 Sagamore Pkwy W Ste 2w, West Lafayette, IN 47906-1459 | 2020-11-06 |
| 1023649217 | Kyle R Bailey | Registered Nurse | 546 Eastern Pkwy, Brooklyn, NY 11225-1604 | 2020-01-28 |
| 1245887991 | Kyle Bailey | Occupational Therapist | 450 Laurel St Ste B, Des Moines, IA 50314-3045 | 2019-08-19 |
| 1174025951 | Kyle Bailey | Peer Specialist | 10608 N Military Ave, Oklahoma City, OK 73114 | 2018-03-07 |
| 1952854192 | Kyle Bailey | Pharmacist | 3000 Arlington Ave, Ms1050, Graduate Medical Education, Toledo, OH 43614-2595 | 2016-07-24 |
| 1245578780 | Kyle M Bailey | Clinic/Center | 425 Broadway St Ste 201, Paducah, KY 42001-0713 | 2013-01-17 |
| 1851450225 | Kyle F Bailey | Physician Assistant | 100 Hospital Dr, Hendersonville, NC 28792-5272 | 2006-12-08 |
| Street Address |
5901 N LIDGERWOOD ST STE 115 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686199 | Rebecca Ann Martinez | Student in an Organized Health Care Education/Training Program | 5901 N Lidgerwood St Ste 115, Spokane, WA 99208-1122 | 2020-10-16 |
| 1093313975 | Rebekah Hagreen | Student in an Organized Health Care Education/Training Program | 5901 N Lidgerwood St Ste 115, Spokane, WA 99208-1122 | 2020-10-13 |
| 1851999734 | Hannah Nickerson-scully | Student in an Organized Health Care Education/Training Program | 5901 N Lidgerwood St Ste 115, Spokane, WA 99208-1122 | 2020-10-13 |
| 1841898996 | Matthew J Morris | Student in an Organized Health Care Education/Training Program | 5901 N Lidgerwood St Ste 115, Spokane, WA 99208-1122 | 2020-10-12 |
| 1437770443 | Hector Manuel Aguila Jr. | Student in an Organized Health Care Education/Training Program | 5901 N Lidgerwood St Ste 115, Spokane, WA 99208-1122 | 2020-04-30 |
| 1124653852 | Sarah Buchanan Walsh | Student in an Organized Health Care Education/Training Program | 5901 N Lidgerwood St Ste 115, Spokane, WA 99208-1122 | 2020-03-03 |
| 1679107395 | Nicole Lynae Jarrett | Student in an Organized Health Care Education/Training Program | 5901 N Lidgerwood St Ste 115, Spokane, WA 99208-1122 | 2020-03-03 |
| 1033749767 | Regina Christine Rich | Student in an Organized Health Care Education/Training Program | 5901 N Lidgerwood St Ste 115, Spokane, WA 99208-1122 | 2020-01-22 |
| 1497394092 | Katarina Chantel Johnson | Student in an Organized Health Care Education/Training Program | 5901 N Lidgerwood St Ste 115, Spokane, WA 99208-1122 | 2019-12-30 |
| 1972141273 | Jeremiah David Zimmerman | Student in an Organized Health Care Education/Training Program | 5901 N Lidgerwood St Ste 115, Spokane, WA 99208-1122 | 2019-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750817 | Nw Family Psychology Rock Pointe | Counselor | 1212 N Washington St Ste 105, Spokane, WA 99201-2441 | 2020-11-03 |
| 1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
| 1396213013 | Alana Rae Nelson | Counselor | 2102 E Sprague Ave # Westwg, Spokane, WA 99202-3125 | 2018-11-12 |
| 1568930378 | Tricia Louise Molloy | Counselor | 711 E 33rd Ave, Spokane, WA 99203-3127 | 2018-11-09 |
| 1982172086 | Nicholas Blaine Nomura Lauderdale | Counselor | 5901 N Lidgerwood St, Suite 115, Spokane, WA 99208-1510 | 2018-11-06 |
| 1548738644 | Collin Ross Keating | Counselor | 505 E North Foothills Dr Ste 300, Spokane, WA 99207-2101 | 2018-11-06 |
| 1275001778 | Craig Allen Hansen | Counselor | 505 E Foothills Dr Ste 300, Spokane, WA 99207-2101 | 2018-11-02 |
| 1831692581 | Rick Kienholz | Counselor | 319 W Hastings Rd Ste A110, Spokane, WA 99218-5021 | 2018-03-08 |
| 1720431059 | Sean P Barrett | Counselor | 705 W 7th Ave Ste 1c, Spokane, WA 99204-2836 | 2016-07-21 |
| 1790146751 | Nathan Ainley | Counselor | 1002 N Superior St, Spokane, WA 99202-2059 | 2016-03-17 |
| Find all providers in SPOKANE | ||||
Please comment or provide details below to improve the information on KYLE SHANE 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.