Cheromi Joyce Baker, RN
Individual provider Active NPI Registered Nurse · Ironton, OH
NPI 1043846496 · NPPES record last updated Apr 3, 2023
Key facts
- NPI
- 1043846496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 966900 (OH)
- Practice address
- 419 Vernon St
Ironton, OH 45638-1637 - Phone
- (740) 479-5120
- NPI assigned
- Mar 18, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 966900 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Group Home, LLC | Past | Accepting new patients | |
| Phoenix Group Home, LLC | Past |
Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/pathihc/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Registered Nurse | 163W00000X | 966900 | OH | Yes |
Addresses
Primary practice location
419 Vernon St
Ironton, OH 45638-1637
Mailing address
PO Box 3095
Dublin, OH 43016-0046
Phone (740) 479-5120
Other practice location 1
1920 S 9th St
Ironton, OH 45638-2453
Phone (740) 479-5120
Other providers in Ironton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.