Breanne Michelle Baker

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

2708 NE 14TH St
Suite 5
Pompano Beach, FL 33062-3565

Phone

(888) 880-9270

NPI assigned

Apr 4, 2013

Last updated

Apr 4, 2013By 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

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1083957419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7491 W MISSION VIEW PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857435419",
            "telephone_number": "520-579-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 NE 14TH ST",
            "address_2": "SUITE 5",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623565",
            "telephone_number": "888-880-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BREANNE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A66060115",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bacus Chiropractic, Inc. (Palm-Aire Medical & Rehab Center)
• Catherine Ann Badalucca
• Kyung Ja Baek, DDS
• Laura Leticia Baez, M.ED
• Sonia Bajaj, RPH, MS
• Brooke Nicole Baker, ED.D.
• Katrina Baker
• Keshona Nicole Baker
• La'Kia L Baker
• Latrisha Baker

• Developmental Therapist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.