Jacquelyn Shanea Baker

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

2657941 Issued in OH

Practice address

3884 W.37TH Street
Cleveland, OH 44109

Phone

(216) 398-6805

NPI assigned

May 4, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053523829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3884 W.37TH STREET",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44109",
            "telephone_number": "216-398-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3884 W.37TH STREET",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44109",
            "telephone_number": "216-398-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JACQUELYN",
        "middle_name": "SHANEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "2657941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2657941",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria Melinda Baker
• Harry M. Baker
• Hayley Brooklyn Baker
• Helene Deanna Baker
• Jack Kenneth Baker
• James Baker, AA-C
• Jasmine Baker
• Jeremy Baker, DO
• Jumaa Nafez Baker
• Karen Baker, MS,CCC-SLP

• Home Health Aide in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.