Jessica Baldwin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

201 W Main St Ste 4B
Medford, OR 97501-2734

Phone

(541) 414-1753

NPI assigned

Jan 8, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1003389511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST STE 4B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST STE 4B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012734",
            "telephone_number": "541-414-1753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 W Main St Ste 4B",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975012734",
            "country_code": "US",
            "telephone_number": "541-414-1753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pragathi Balakrishna, M.D.
• Balanced Massage, LLC
• Balancedocs Inc
• Berta P Baldovino Navarro, MD
• Lucinda Baldovino, LCSW
• Mariah Kathlyn Baldwin, DMD
• Laura Balestreri, M.D.
• Kimerlea Renee Ball
• Shannon Deidre Ball
• Matthew Scott Ballantyne, RN

• Behavior Technician in Medford, OR
• Providers in Medford, OR by specialty
• Behavior Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.