NPI 1801428255 · live from the CMS NPI Registry
Adaya Alexandra Bayless, CPNP
Nurse Practitioner, Pediatrics in Crossville, TN. National Provider Identifier 1801428255, active.
NPI record
| NPI | 1801428255 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 3234 Miller Ave, Crossville, TN 38555 |
| Practice phone | 865-244-0927 |
| Mailing address | 4435 Shangri La Dr, Knoxville, TN 37914 |
| Enumerated | February 4, 2020 |
| Last updated | January 9, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | 222015 (TN) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 222015 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.