Active NPI
Anne G Baylock, ADV PRACTICE RN
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Rutland, VT
National Provider Identifier
1073690707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 0420010759
- Practice address
- 1 Commons St
Rutland, VT 05701-4652 - Phone
- (802) 747-1857
- Fax
- (802) 747-0129
- NPI assigned
- Nov 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 0420010759 | VT | Primary |
Addresses
Primary practice location
1 Commons St
Rutland, VT 05701-4652
Mailing address
89 Town Hill Rd
PO Box 573
Pittsford, VT 05763-0573
Phone (802) 483-9395
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00058662 | Other | VT | BC/BS |
| 1008733 | Medicaid | VT |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420010759 | VT | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1073690707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 TOWN HILL RD",
"address_2": "PO BOX 573",
"city": "PITTSFORD",
"state": "VT",
"postal_code": "057630573",
"telephone_number": "802-483-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COMMONS ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014652",
"telephone_number": "802-747-1857",
"fax_number": "802-747-0129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYLOCK",
"first_name": "ANNE",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "ADV PRACTICE RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "VT",
"license": "0420010759",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "00058662",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008733",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.