Active NPI
Shelley S Baker, OTR/L
- Occupational Therapist
- Kansas City, MO
National Provider Identifier
1053409011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 000017
- Practice address
- 7501 Prospect Ave
Kansas City, MO 64132-2103 - Phone
- (816) 421-5848
- Fax
- (816) 237-2065
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 000017 | MO | Primary |
| Occupational Therapist | 225X00000X | 17-00419 | KS |
Addresses
Primary practice location
7501 Prospect Ave
Kansas City, MO 64132-2103
Mailing address
3915 W 90TH Ter
Prairie Village, KS 66207-2329
Phone (913) 381-1326
Other names 1
- Shelley Sikes Baker
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000017 | MO | MD | Mental Health Counselor |
| 17-00419 | KS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alphapointe | Occupational Therapist | Past | Accepting new patients |
| Alphapointe | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Overland Park, KS
- NPI 1841244795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053409011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 W 90TH TER",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662072329",
"telephone_number": "913-381-1326",
"fax_number": "913-381-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 PROSPECT AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641322103",
"telephone_number": "816-421-5848",
"fax_number": "816-237-2065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "SHELLEY",
"middle_name": "S",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "000017",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-00419",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLEY",
"last_name": "BAKER",
"middle_name": "SIKES",
"credential": "OTR/L",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.