Individual provider Active NPI

Krystle Baker, MD

  • Obstetrics & Gynecology Physician
  • Jennings, LA
National Provider Identifier
1063739902
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD205677 Issued in LA
Practice address
805 State St
Jennings, LA 70546-4739
Phone
(337) 824-6150
Fax
(337) 824-3143
NPI assigned
May 3, 2010
Last updated
Sep 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD205677 LA Primary

Addresses

Primary practice location

805 State St
Jennings, LA 70546-4739

Mailing address

805 State St
Jennings, LA 70546-4739
Phone (337) 824-6150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150106002250 LA Practitioner - Obstetrics/Gynecology 6608199252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1634 Elton Rd
Jennings, LA 70546-3614
Phone (337) 612-7032

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner American Legion Hospital LLC CurrentSince Apr 1, 2022 Accepting new patients
Ochsner American Legion Hospital LLC CurrentSince Apr 1, 2022 Accepting new patients
Ochsner American Legion Hospital LLC Current Accepting new patients
Ochsner American Legion Hospital LLC Past Accepting new patients

Locations

3256 Highway 190
Ste B
Eunice, LA 70535
Phone (337) 550-3740

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

1636 Elton Rd
Ste 201
Jennings, LA 70546
Phone (337) 721-7236

805 State St
Jennings, LA 70546
Phone (337) 824-6150

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1063739902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 STATE ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464739",
            "telephone_number": "337-824-6150",
            "fax_number": "337-824-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 STATE ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464739",
            "telephone_number": "337-824-6150",
            "fax_number": "337-824-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KRYSTLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD205677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

Verify at the official NPI Registry.