Becky Baker

Key facts

NPI

1295372159

Entity type

Individual (NPI type 1)

Primary specialty

Case Manager/Care Coordinator 171M00000X

Practice address

1328 2ND Ave
Columbus, GA 31901-2112

Phone

(706) 576-5879

Fax

(706) 576-5896

NPI assigned

Dec 10, 2019

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 10, 2019.

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1295372159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 2ND AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012112",
            "telephone_number": "706-576-5879",
            "fax_number": "706-576-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 2ND AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012112",
            "telephone_number": "706-576-5879",
            "fax_number": "706-576-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BECKY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

• Sallie Bailey
• Shaelyn Rose Bailey
• Baker 4 Inc.
• Baker Surgical Services
• Arlena Baker
• Carmen Dionne Baker
• Champ L. Baker, MD
• Gwendolyn Dorene Baker
• Jessica Baker, MS, BCBA
• Johnathan Baker

All providers in Columbus, GA · Case Manager/Care Coordinator in Georgia