Jacqueline Renee Baker, PA-C
Individual provider Active NPI Physician Assistant · Lexington, KY
NPI 1285705558 · NPPES record last updated Dec 9, 2020
Key facts
- NPI
- 1285705558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA971 (KY)
- Practice address
- 1760 Nicholasville Rd
Suite 502
Lexington, KY 40503-1471 - Phone
- (859) 278-2232
- Fax
- (859) 278-1543
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA971 | KY | Yes |
Addresses
Primary practice location
1760 Nicholasville Rd
Suite 502
Lexington, KY 40503-1471
Mailing address
1760 Nicholasville Rd
Suite 502
Lexington, KY 40503-1471
Phone (859) 278-2232
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100012460 | Medicaid | KY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbaker30349@bhkydirect.com |
Other providers in Lexington, KY
- Daphany Roseanna Baker
- David Robertson Baker
- Elena Baker
- Gerald J Baker
- Hayley Mansur Baker
- Jennifer Baker
- Keivante Baker
- Kendra Joe Baker
- Kenneth Starling Baker III
- Makayla Frances Baker
All providers in Lexington, KY · Physician Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.