KRISTINE BAILEY (NPI# 1669653952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669653952 |
| Entity Type | Individual |
| Full Name | KRISTINE BAILEY |
| Credential | PMHNP |
| Practice Address |
305 E Fairmount Ave Ste 7 Lakewood NY 14750-2000 |
| Practice Telephone | 7164832603 |
| Practice Fax Number | 7165264161 |
| Mailing Telephone | 7164832603 |
| Mailing Fax Number | 7165264161 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2010-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
564481 | NY | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401349-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558819771 | Kristine Bailey | Case Manager/Care Coordinator | 53 Kendall St, Franklin, NH 03235-1413 | 2016-09-16 |
| Street Address |
305 E FAIRMOUNT AVE STE 7 |
| City | LAKEWOOD |
| State | NY |
| Zip Code | 14750-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518925437 | Israr A Abbasi | Psychiatry & Neurology | 305 E Fairmount Ave, Lakewood, NY 14750 | 2006-05-02 |
| 1780299495 | Rachel E King | Nurse Practitioner | 305 E Fairmount Ave, Lakewood, NY 14750-2000 | 2020-09-10 |
| 1255964268 | Casey Brown | Nurse Practitioner | 305 E Fairmount Ave, Lakewood, NY 14750-2000 | 2020-02-18 |
| 1295213684 | Allison Claire Munella | Physician Assistant | 305 E Fairmount Ave, Lakewood, NY 14750 | 2018-07-30 |
| 1922261080 | Shahnawaz Meer | Psychiatry & Neurology | 305 E Fairmount Ave, Lakewood, NY 14750-2000 | 2008-07-08 |
| 1659530962 | Julie Apperson | Registered Nurse | 305 E Fairmount Ave, Unit 7, Lakewood, NY 14750-2000 | 2008-06-03 |
| 1700062247 | Jamestown Psychiatric PC | Psychiatry & Neurology | 305 E Fairmount Ave, Lakewood, NY 14750-2000 | 2008-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699163147 | Craig Richards | Physician Assistant | 390 E Fairmount Ave, Lakewood, NY 14750 | 2015-01-07 |
| 1982849659 | Syed Ali Raza Shamsi | Psychiatry & Neurology | 305 E. Fairmont Avenue, Unit 7, Lakewood, NY 14750 | 2008-12-10 |
| 1942417977 | Stephen C Barresi | Physician Assistant | Chd Meridian Healthcare, Jep, 4720 Bakerst, Ext., Lakewood, NY 14750 | 2007-05-17 |
| 1295947117 | Harold Ronald Carlson | Dentist | 2 East Main Street, Suite 115, Falconer, NY 14750 | 2007-05-04 |
| 1194865907 | David William Todd | Dentist | 120 Southwestern Dr, Lakewood, NY 14750 | 2007-02-08 |
| 1730271248 | Lee Ryan Anderson | Dentist | 909 Hunt Road, Lakewood, NY 14750 | 2006-09-29 |
| 1962416362 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | Rt 394 Mall Blvd, Lakewood, NY 14750 | 2006-07-28 |
| 1992771190 | Robert Gibbon Jr. | Psychiatry & Neurology | 92 W. Summit St., Lakewood, NY 14750 | 2006-02-27 |
| 1477998029 | Debra Arlene Przepiora | Licensed Practical Nurse | 20 W Fairmount Ave, Lakewood, NY 14750 | 2013-05-08 |
| 1073868519 | Kelly Ann Wittenbrook | Nurse Practitioner | 20 W Fairmount Ave, Lakewood, NY 14750 | 2012-07-20 |
| Find all providers in zip 14750 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720289 | Robin Jean Mills | Nurse Practitioner | 2162 Lewis Dr, Lakewood, OH 44107-6141 | 2020-08-12 |
| 1720646771 | Se Won Min | Nurse Practitioner | 9116 Gravelly Lake Dr Sw Ste 107, Lakewood, WA 98499-3148 | 2019-06-04 |
| 1790245736 | Therese Jean Calabrese | Nurse Practitioner | 7525 W 10th Ave # 100, Lakewood, CO 80214-4493 | 2019-03-25 |
| 1760966139 | Michelle Lea Bajema | Nurse Practitioner | 6212 75th St W # 1, Lakewood, WA 98499-8368 | 2018-09-20 |
| 1881097707 | Marjory Strawn | Nurse Practitioner | 7114 W Jefferson Ave Ste 306, Lakewood, CO 80235-2354 | 2014-10-06 |
| 1992077630 | Tzivya Kownat | Nurse Practitioner | 23 Kedma Dr, Lakewood, NJ 08701-3599 | 2012-01-26 |
| 1033118344 | Erin Alane Jacobson | Nurse Practitioner | 6212 75th St W, Lakewood, WA 98499-8368 | 2005-07-19 |
| 1780299495 | Rachel E King | Nurse Practitioner | 305 E Fairmount Ave, Lakewood, NY 14750-2000 | 2020-09-10 |
| 1073135505 | Se Hee Min | Nurse Practitioner | 9116 Gravelly Lake Dr Sw Ste 107, Lakewood, WA 98499-3148 | 2020-05-06 |
| 1255964268 | Casey Brown | Nurse Practitioner | 305 E Fairmount Ave, Lakewood, NY 14750-2000 | 2020-02-18 |
| Find all providers in LAKEWOOD | ||||
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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.