Paul Javier Baeza

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

N4819 Issued in WY

Practice address

1000 E University Ave # 3068
Laramie, WY 82071-2000

Phone

(307) 766-2130

NPI assigned

Oct 22, 2026

Last updated

Oct 22, 2026By the provider in NPPES

Sex

Male

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

Practice roles

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.

• University of Wyoming Student Health Service

  • Student Health Clinic/Center
  • Laramie, WY
  • NPI 1922112374
  NPD (past)
• Uw Student Health Service Pharmacy

  • Pharmacy
  • Laramie, WY
  • NPI 1891859690
  NPD (past)

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1124925292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 E FLINT ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722746",
            "telephone_number": "307-299-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E UNIVERSITY AVE # 3068",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820712000",
            "telephone_number": "307-766-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZA",
        "first_name": "PAUL",
        "middle_name": "JAVIER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WY",
            "license": "N4819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Andrew Avalos
• Ellen Virginia Axtmann, LPC
• Erambo Ayokosok, PHARM D
• Belinda Bacon, PCSW
• Tanya Baer
• Ayesha K Baig, PPC
• Austin Baker, PHARMD
• Samanthajo Baker, PMHNP-BC
• Asia Corrine Baldivia
• Amber Bales

• Student in an Organized Health Care Education/Training Program in Laramie, WY
• Providers in Laramie, WY by specialty
• Student in an Organized Health Care Education/Training Program in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.