Individual provider Active NPI

Michelle Ranae Baldwin, RN

  • Infection Control Registered Nurse
  • Enid, OK
National Provider Identifier
1124699566
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infection Control Registered NurseTaxonomy code 163WI0600X
License
R0107186 Issued in OK
Practice address
525 S Quincy St
Enid, OK 73701-5456
Phone
(580) 234-7581
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infection Control Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WI0600X R0107186 OK Primary

Addresses

Primary practice location

525 S Quincy St
Enid, OK 73701-5456

Mailing address

5105 S Boomer Rd
Enid, OK 73703-8121
Phone (580) 402-2058

Other practice location 1

1002 E Broadway Ave
Enid, OK 73701-4409
Phone (580) 242-1153

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sane@ywcaenid.com Direct

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R0107186OKMDInfection Control Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1124699566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 S BOOMER RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737038121",
            "telephone_number": "580-402-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S QUINCY ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015456",
            "telephone_number": "580-234-7581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 E Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737014409",
            "country_code": "US",
            "telephone_number": "580-242-1153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "MICHELLE",
        "middle_name": "RANAE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Infection Control",
            "state": "OK",
            "license": "R0107186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sane@ywcaenid.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "525 S Quincy St",
            "city": "Enid",
            "state": "OK",
            "country_code": "US",
            "postal_code": "737015456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.