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EDWINA BAILEY RADT
NPI 1700603909
Rehabilitation Practitioner in South Lake Tahoe, CA

Active since September 20, 2024
1693 NADOWA STREET, SOUTH LAKE TAHOE, CA 96150(623) 889-4711 Get Directions Write a Review

NPPES record last updated: December 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2025, Aug 5, 2025, Sep 20, 2024 (3 updates tracked since 2024).

About Edwina Bailey Radt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWINA BAILEY RADT (NPI 1700603909) is an individual rehabilitation practitioner in South Lake Tahoe, California and active in the NPI registry since September 2024. She maintains a secondary practice location in Happy Camp.

NPPES Registry Identity

NPI1700603909
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameEDWINA BAILEYCredential: RADT
Location Address1693 NADOWA STREETSouth Lake Tahoe, CA 96150
Mailing AddressPo Box 770Happy Camp, CA 96039-0770
Phone(623) 889-4711
Sole ProprietorNo
Enumeration DateSeptember 20, 2024
Last NPPES UpdateDecember 6, 20253 updates tracked since enumeration
NPPES CertifiedDecember 6, 2025
✔ NPI 1700603909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LAAC-15597 (AZ)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedHealth EducatorTaxonomy 174H00000X
1693 NADOWA STREET, South Lake Tahoe, CA 96150
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Secondary Practice Location 1

Location 164105 Hillside RoadHappy Camp, CA 96039 · Phone (623) 889-4711

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS, INC.
Clinic/Center (Adolescent and Children Mental Health)
1693 NADOWA STREET
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-1544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwina Bailey's NPI number?

The NPI number for Edwina Bailey is 1700603909. It was assigned to this individual provider in the NPPES registry on September 20, 2024.

Where is Edwina Bailey located?

Edwina Bailey practices at 1693 Nadowa Street, South Lake Tahoe, CA 96150. The listed phone number is (623) 889-4711.

What is Edwina Bailey's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Edwina Bailey was last updated on December 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.