Healthcare Provider Details

I. General information

NPI: 1821913278
Provider Name (Legal Business Name): AUREA RUPLE BAILEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13160 COUNTY ROAD 3610
SAINT JAMES MO
65559-9151
US

IV. Provider business mailing address

117 LAKEVIEW CT
SAINT ROBERT MO
65584-3306
US

V. Phone/Fax

Practice location:
  • Phone: 254-781-9373
  • Fax:
Mailing address:
  • Phone: 254-781-9373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2026035714
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: