Active NPI
Angela Renae Baldy, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Key West, FL
National Provider Identifier
1124144688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- ARNP3034202
- Practice address
- 1714 N Roosevelt Blvd
Key West, FL 33040-7299 - Phone
- (305) 293-4233
- Fax
- (305) 293-4234
- NPI assigned
- Mar 22, 2007
- Last updated
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | ARNP3034202 | FL | |
| Pediatric Nurse Practitioner | 363LP0200X | RN229335 | GA | |
| Pediatric Nurse Practitioner | 363LP0200X | ARNP3034202 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP3034202 | FL | Primary |
Addresses
Primary practice location
1714 N Roosevelt Blvd
Key West, FL 33040-7299
Mailing address
1100A Dewey Rd
Key West, FL 33040-6708
Phone (850) 819-8477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TO BE ASSIGNED | Medicaid | FL |
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 |
|---|---|---|---|
| RN229335 | GA | MD | Pediatric Nurse Practitioner |
| ARNP3034202 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keys Pediatrics PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDGIAD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Key West, FL
- NPI 1326587734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1124144688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100A DEWEY RD",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330406708",
"telephone_number": "850-819-8477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 N ROOSEVELT BLVD",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330407299",
"telephone_number": "305-293-4233",
"fax_number": "305-293-4234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDY",
"first_name": "ANGELA",
"middle_name": "RENAE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "FL",
"license": "ARNP3034202",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN229335",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP3034202",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP3034202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TO BE ASSIGNED",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.