Kelly Baker, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F01241356 Issued in SC

Practice address

893 Houston Northcutt Blvd
Mount Pleasant, SC 29464-3446

Phone

(803) 427-3195

NPI assigned

Feb 19, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1124883103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3266 SCRANTON DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668538",
            "telephone_number": "803-427-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 HOUSTON NORTHCUTT BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643446",
            "telephone_number": "803-427-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "F01241356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grayson Insley Bainbridge, LPCA
• Michal Lucile Baird, MD
• Allison Grondski Baker, DC
• Brett M Baker, M.D.FACC
• Julie R. Baker, JULIE R. BAKER,LMFT
• Lauren Baker, PT, DPT
• Madison Baker, PA
• Matthew Bryan Baker, M.D.
• Megan Keeffe Baker, MD
• Nancy B Baker, RN, NCSN

• Family Medicine Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.