Individual provider Active NPI

Karen Anne Baldi, MD

  • Family Medicine Physician
  • Montezuma, NM
National Provider Identifier
1003840638
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2000-09 Issued in NM
Practice address
Lower Canyon Lane
NMSR 65
Montezuma, NM 87731-0222
Phone
(505) 454-3831
NPI assigned
Jul 10, 2006
Last updated
Oct 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2000-09 NM Primary

Addresses

Primary practice location

Lower Canyon Lane
NMSR 65
Montezuma, NM 87731-0222

Mailing address

13 Lower Canyon Lane
NMSR 65
Montezuma, NM 87731-0222
Phone (505) 454-3831

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2000-09NMMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1003840638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 LOWER CANYON LANE",
            "address_2": "NMSR 65",
            "city": "MONTEZUMA",
            "state": "NM",
            "postal_code": "877310222",
            "telephone_number": "505-454-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOWER CANYON LANE",
            "address_2": "NMSR 65",
            "city": "MONTEZUMA",
            "state": "NM",
            "postal_code": "877310222",
            "telephone_number": "505-454-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDI",
        "first_name": "KAREN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "2000-09",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montezuma, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.