Jan E. Baker, APRN
Individual provider Active NPI Nurse Practitioner · Salt Lake City, UT
NPI 1164512794 · NPPES record last updated Jul 19, 2012
Key facts
- NPI
- 1164512794
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 214960-4405 (UT)
- Practice address
- 50 N Medical Dr
Salt Lake City, UT 84132-0001 - Phone
- (801) 581-2719
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Specialty Services | Current |
Accepting new patients | |
| University of Utah Specialty Services | Current |
Accepting new patients | |
| University of Utah Specialty Services | Current | Accepting new patients | |
| University of Utah Specialty Services | Past | Accepting new patients | |
| University Neurosurgery Associates | Past | Accepting new patients | |
| University of Utah Specialty Services | Past | Accepting new patients |
Locations
2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151
50 N Medical Dr
#U
Salt Lake Cty, UT 84132
Phone (801) 581-4314
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 214960-4405 | UT | Yes |
Addresses
Primary practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
PO Box 413028
Salt Lake City, UT 84141-3028
Phone (801) 213-3900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00466457 | Other | UT | RAILROAD MEDICARE |
Other providers in Salt Lake City, UT
- Emily Baker
- Frederick Alden Baker
- Gabrielle Marie Baker
- Garry L Baker
- Haley Baker
- Jenny Baker
- Jessica Janet Baker
- Kathleen Marie Baker
- Kayli Baker
- Kiana Baker
All providers in Salt Lake City, UT · Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.