Erica Dawn Baker
Individual provider Active NPI Developmental Therapist · Richmond, KY
NPI 1114169752 · NPPES record last updated Mar 27, 2009
Key facts
- NPI
- 1114169752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- License
- 200701966 (KY)
- Practice address
- 1662 Foxhaven Dr Apt 12
Richmond, KY 40475-1085 - Phone
- (606) 269-1818
- Fax
- (859) 623-8578
- NPI assigned
- Mar 27, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200701966 | KY | MD | Developmental Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 200701966 | KY | Yes |
Addresses
Primary practice location
1662 Foxhaven Dr Apt 12
Richmond, KY 40475-1085
Mailing address
1662 Foxhaven Dr Apt 12
Richmond, KY 40475-1085
Phone (606) 269-1818
Other providers in Richmond, KY
- Aza Supplies LLC
- Baechtold Dental Dre PLLC
- Leslie Lisette Baechtold
- Tara Bailey
- Ashton Storie Baker
- Mary Patricia Baker
- Baldwin Chiropractic, PSC
- Eric James Baldwin
- Laura Baldwin
- Taylor Andrew Baldwin
All providers in Richmond, KY · Developmental Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.