Active NPI
Angie Marie Baker, LMT
- Massage Therapist
- Hazard, KY
National Provider Identifier
1104243401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- KY-5082
- Practice address
- 3123 N Ky Highway 15 Ste 1
Hazard, KY 41701-5632 - Phone
- (606) 439-3399
- Fax
- (606) 487-9280
- NPI assigned
- Mar 25, 2014
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | KY-5082 | KY | Primary |
Addresses
Primary practice location
3123 N Ky Highway 15 Ste 1
Hazard, KY 41701-5632
Mailing address
3123 N Ky Highway 15 Ste 1
Hazard, KY 41701-5632
Phone (606) 439-3399
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-5082 | KY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1104243401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3123 N KY HIGHWAY 15 STE 1",
"city": "HAZARD",
"state": "KY",
"postal_code": "417015632",
"telephone_number": "606-439-3399",
"fax_number": "606-487-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3123 N KY HIGHWAY 15 STE 1",
"city": "HAZARD",
"state": "KY",
"postal_code": "417015632",
"telephone_number": "606-439-3399",
"fax_number": "606-487-9280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "ANGIE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-25",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KY",
"license": "KY-5082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.