NPIMap

Organization Active NPI

Carly Baker

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • West Salem, WI
National Provider Identifier
1164739934
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
302971-031 Issued in WI
Legal business name
CARLY BAKER
Practice address
146 E Tilson St.
West Salem, WI 54669-1213
Phone
(608) 792-2646
NPI assigned
Sep 1, 2010
Last updated
Sep 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Carly Jean BakerNPI 1710293204
Title
LPN
Phone
(608) 792-2646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 302971-031 WI Primary

Addresses

Primary practice location

146 E Tilson St.
West Salem, WI 54669-1213

Mailing address

146 Tilson St E
West Salem, WI 54669-1213
Phone (608) 792-2646

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1164739934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 TILSON ST E",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546691213",
            "telephone_number": "608-792-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 E TILSON ST.",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546691213",
            "telephone_number": "608-792-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLY BAKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CARLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "608-792-2646"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "WI",
            "license": "302971-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Salem, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.