Organization Active NPI

Baxter Palliative Consulting LLC

  • Family Nurse Practitioner
  • Wakefield, RI
National Provider Identifier
1033717228
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BAXTER PALLIATIVE CONSULTING LLC
Practice address
55 Cherry LN
Wakefield, RI 02879-3617
Phone
(401) 400-5535
NPI assigned
Oct 12, 2020
Last updated
Oct 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Ms. Kelly Esther Baxter, DNP, APRN, ACHPNNPI 1851623557
Title
Owner
Phone
(401) 400-5535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Adult Health Nurse Practitioner 363LA2200X NU
Family Nurse Practitioner 363LF0000X NU Primary
Gerontology Nurse Practitioner 363LG0600X NU

Addresses

Primary practice location

55 Cherry LN
Wakefield, RI 02879-3617

Mailing address

55 Cherry LN
Wakefield, RI 02879-3617
Phone (401) 400-5535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201124001981 RI Part B Supplier - Clinic/Group Practice 2466863402 Receives reassigned benefits from 3 practitioners
Practice locations: Wakefield, RI

National Provider Directory

National Provider Directory

Locations

55 Cherry Ln
Wakefield, RI 02879
Phone (401) 789-1367

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1033717228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CHERRY LN",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793617",
            "telephone_number": "401-400-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CHERRY LN",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793617",
            "telephone_number": "401-400-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER PALLIATIVE CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-400-5535",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DNP, APRN, ACHPN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.