STACY BAILEY (NPI# 1407402431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407402431 |
Entity Type | Individual |
Full Name | STACY BAILEY |
Credential | PRS |
Practice Address |
246 Northland Dr Ste 120 Medina OH 44256-3440 |
Mailing Address |
434 Eastland Rd Berea OH 44017-1217 |
Practice Telephone | 4402608300 |
Mailing Telephone | 4402342006 |
Enumeration Date | 2019-08-15 |
Last Update Date | 2019-08-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598078867 | Stacy Lea Bailey | Registered Nurse | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2010-07-15 |
Street Address |
246 NORTHLAND DR STE 120 |
City | MEDINA |
State | OH |
Zip Code | 44256-3440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215577408 | Phil Mcclelland | Counselor | 520 Miller Dr, Medina, OH 44256 | 2020-01-15 |
1619519444 | Lauren Marie Blakney | Nurse Practitioner | 970 E Washington St., Medina, OH 44256 | 2019-10-14 |
1558922286 | Jennifer Sue Arhin | Nurse Practitioner | 807 E Washington St., Ste 220, Medina, OH 44256 | 2019-06-24 |
1891263927 | Jena Christine Palmer | Nurse Practitioner | 817 E Washington Street, Medina, OH 44256 | 2018-11-07 |
1154849891 | Janelle Liggett-schultz | Licensed Practical Nurse | 8170 Coon Club Rd, Medina, OH 44256 | 2017-09-01 |
1942725478 | Amanda Kay Byrne | Registered Nurse | 1000 Concord Dr., Medina, OH 44256 | 2017-08-05 |
1821526922 | Melissa Marie Rutti | Nurse Practitioner | 111 Reagan Pkwy, Medina, OH 44256 | 2017-06-01 |
1992238919 | Lisa Scherler | Speech-Language Pathologist | 3880 Ridge Rd., Medina, OH 44256 | 2017-04-06 |
1770026502 | Victoria Lee Ayala | Speech-Language Pathologist | 390 Fair Street, Berea, OH 44256 | 2016-11-28 |
1982076626 | Finding Your Identity LLC | Community/Behavioral Health | 124 West Lafayette Road, Suite 100, Medina, OH 44256 | 2015-10-21 |
Find all providers in zip 44256 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
1841807351 | Katelynn Vincent | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2020-09-29 |
1982225363 | Nicola Klein | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2020-04-27 |
1841820263 | James M Eberly | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2020-01-24 |
1528698099 | Rachael L Bradford-bank | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2020-01-23 |
1326698184 | John A Heer | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2019-09-13 |
1063068310 | Susan Rucky | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2019-08-13 |
1609429224 | Jessica Huckabone | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2019-07-23 |
1831755610 | Ashley Montecalvo | Peer Specialist | 246 Northland Dr Ste 140, Medina, OH 44256-3440 | 2019-05-16 |
1861958894 | Randy Pierpoint | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2019-02-14 |
Find all providers in MEDINA |
Please comment or provide details below to improve the information on STACY 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.