Madalynn Joy Baker

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95011390 Issued in CA

Practice address

3621 Forest Glenn Dr
Modesto, CA 95355-1339

Phone

(209) 521-7411

Fax

(209) 521-2640

NPI assigned

May 7, 2019

Last updated

May 7, 2019By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1022

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.

• Stanislaus Cardiology Group

  • Specialist
  • Modesto, CA
  • NPI 1902828841
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1255996096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 FOREST GLENN DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551339",
            "telephone_number": "209-521-7411",
            "fax_number": "209-521-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 FOREST GLENN DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551339",
            "telephone_number": "209-521-7411",
            "fax_number": "209-521-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MADALYNN",
        "middle_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95011390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Paul Baker, DC
• Katelyn Grace Baker, PHARMD
• Kijana Baker
• Kurt Dayne Baker, PH.D.
• Louise Elizabeth Baker
• Margaret Baker, FNPC
• Nicholas Donald Baker, MPH, PHARM.D.
• Samuel Sumpter Baker
• Shelby Baker
• Stanley Dale Baker, D.D.S.

• Nurse Practitioner in Modesto, CA
• Providers in Modesto, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.