Healthcare Provider Details

I. General information

NPI: 1962874941
Provider Name (Legal Business Name): RACHEL BAIL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL KOMLOS

II. Dates (important events)

Enumeration Date: 10/29/2015
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 COLUMBUS RD STE 203
ATHENS OH
45701-1316
US

IV. Provider business mailing address

416 COLEGATE DR BLDG 3
MARIETTA OH
45750-9549
US

V. Phone/Fax

Practice location:
  • Phone: 740-331-6910
  • Fax: 740-331-6919
Mailing address:
  • Phone: 740-374-3526
  • Fax: 740-374-3165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.18348
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.18348
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: