Active NPI
William Kent Baldwin, RN, BSN
- Psychiatric/Mental Health Registered Nurse
- Portland, OR
National Provider Identifier
1316079544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 200642896RN
- Practice address
- 412 SW 12TH Ave
Portland, OR 97205-2329 - Phone
- (503) 228-7134
- Fax
- (503) 445-0749
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 200642896RN | OR | Primary |
| Mental Health Counselor | 101YM0800X | 200642896RN | OR |
Addresses
Primary practice location
412 SW 12TH Ave
Portland, OR 97205-2329
Mailing address
232 NW 6TH Ave
Portland, OR 97209-3609
Phone (503) 294-1681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200642896RN | OR | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234137600000",
"number": "1316079544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 NW 6TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972093609",
"telephone_number": "503-294-1681",
"fax_number": "503-241-7419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 SW 12TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052329",
"telephone_number": "503-228-7134",
"fax_number": "503-445-0749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "WILLIAM",
"middle_name": "KENT",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2009-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OR",
"license": "200642896RN",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "200642896RN",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.