Individual provider Active NPI

Allen A Baker, PEER SUPPORT SPEC

  • Peer Specialist
  • Shelbyville, IN
National Provider Identifier
1003790478
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
4438 Issued in IN
Practice address
217 N Hamilton St Apt 10217N
Shelbyville, IN 46176-1470
Phone
(317) 656-1397
NPI assigned
Jul 31, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4438INMDPeer Specialist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 4438 IN Primary

Addresses

NPPES NPI Registry

Primary practice location

217 N Hamilton St Apt 10217N
Shelbyville, IN 46176-1470

Mailing address

217 N Hamilton St Apt 10217N
Shelbyville, IN 46176-1470
Phone (317) 656-1397

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2025.

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1003790478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N HAMILTON ST APT 10217N",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761470",
            "telephone_number": "317-656-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N HAMILTON ST APT 10217N",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761470",
            "telephone_number": "317-656-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ALLEN",
        "middle_name": "A",
        "credential": "PEER SUPPORT SPEC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "IN",
            "license": "4438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.