Esther D. Baxam-Spence, RN, MSN, CNNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

26NR06081400 Issued in NJ

Practice address

1 Bay Ave
Montclair, NJ 07042-4837

Phone

(973) 429-6991

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1023147196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 CROASDAILE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAY AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424837",
            "telephone_number": "973-429-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXAM-SPENCE",
        "first_name": "ESTHER",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, CNNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NJ",
            "license": "26NR06081400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "20-2932173",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065099",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Alan Barr, MD
• Chameeka Olivia Barrett, M.D.
• Donna M Barry, APN-C
• Bobby Bass, BOBBY BASS, L.C.S.W.
• Rivka Bauman, CLD
• BCMM Medical Supplies Corporation
• Amani Dorothy Beach
• Behavioral Health Specialist at Highland LLC
• Anca Irina Bejan, D.D.S.
• Marlissa M Belay, APN

• Neonatal Nurse Practitioner in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Neonatal Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.