Active NPI
Nina E Baker, M.D.
- Physical Medicine & Rehabilitation Physician
- Aurora, CO
National Provider Identifier
1083759690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 0048104
- Practice address
- 12631 E 17TH Ave
Ao1 Mail Stop F493
Aurora, CO 80045-2527 - Phone
- (303) 724-1264
- NPI assigned
- Feb 21, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | P20454 | MD | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 0101257329 | VA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 0048104 | CO | Primary |
Addresses
Primary practice location
12631 E 17TH Ave
Ao1 Mail Stop F493
Aurora, CO 80045-2527
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other practice location 1
545 Ray C Hunt Dr
Suite 240
Charlottesville, VA 22903-2981
Phone (434) 243-5622
Other practice location 2
12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-0000
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0048104 | CO | MD | Physical Medicine & Rehabilitation Physician |
| P20454 | MD | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577404800000",
"number": "1083759690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12631 E 17TH AVE",
"address_2": "AO1 MAIL STOP F493",
"city": "AURORA",
"state": "CO",
"postal_code": "800452527",
"telephone_number": "303-724-1264"
}
],
"practiceLocations": [
{
"address_1": "545 Ray C Hunt Dr",
"address_2": "Suite 240",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229032981",
"country_code": "US",
"telephone_number": "434-243-5622",
"fax_number": "434-243-5639",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12605 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452545",
"country_code": "US",
"telephone_number": "720-848-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "NINA",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2019-12-27",
"certification_date": "2019-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MD",
"license": "P20454",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "0101257329",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "0048104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.