Active NPIIndividual provider

Lisa S Bailey, PA

Physician Assistant, Medical in Providence, Rhode Island

NPI Number1730663287
Practice location
1195 N Main St, Providence, RI 02904-1824
Fax
401-861-3782
Last updated
June 10, 2026

Lisa S Bailey is a Physician Assistant, Medical based in Providence, RI. Lisa S Bailey practices in Providence, RI and has the professional credentials of PA. The NPI Number for Lisa S Bailey is 1730663287 and holds a License No. PA7890 (MA). The current practice location address for Lisa S Bailey is 1195 N Main St, Providence, RI 02904-1824 and can be reached out via phone at 401-861-3782 and via fax at 401-861-3782.

Provider Profile Details

NPI Number
1730663287
Provider Name
Lisa S Bailey
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1195 N Main St, Providence, RI 02904-1824
Phone Number
401-861-3782
Fax Number
401-861-3782
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Other Names
Lisa S Israel, PA (Former Name)
Provider Enumeration Date
September 20, 2018
Last Update Date
June 10, 2026
Certification Date
June 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1195 N Main St
Providence, RI 02904-1824
Zip
02904-1824
Phone Number
401-861-3782
Fax Number
401-861-3782
Providence, RI 02904Get directions →

Provider Business Mailing Address Details

Address
1195 N Main St
Providence, RI 02904-1824
City
Providence
State
RI
Zip
02904-1824
Phone Number
401-861-3782
Fax Number
401-383-5846

License Information

License Number (1)
PA7890
License State (1)
MA
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X · Primary
License Number (2)
PA01080
License State (2)
RI
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa S Bailey, PA?

The NPI number of Lisa S Bailey, PA is 1730663287. It was assigned on September 20, 2018 and is currently active in the NPPES registry.

What is the specialty of Lisa S Bailey, PA?

Lisa S Bailey, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number PA7890.

Where does Lisa S Bailey, PA practice?

The practice location is 1195 N Main St, Providence, RI 02904-1824. The office can be reached at 401-861-3782 (phone) or 401-861-3782 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730663287 directly on the NPPES registry website.

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