Individual provider Active NPI

Marilyn Ruth Yellowbird-Baker, BSN, MS

  • Registered Nurse
  • New Town, ND
National Provider Identifier
1336476886
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
147222-030 Issued in ND
Practice address
1058 College Dr
New Town, ND 58763-9112
Phone
(701) 627-7715
NPI assigned
Nov 4, 2009
Last updated
Dec 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 147222-030 ND Primary

Addresses

Primary practice location

1058 College Dr
New Town, ND 58763-9112

Mailing address

PO Box 1534
New Town, ND 58763-1534
Phone (701) 627-7715

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, Master of Science

State licenses

LicenseStateTypeSpecialty
147222-030NDMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1336476886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1534",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587631534",
            "telephone_number": "701-627-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 COLLEGE DR",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587639112",
            "telephone_number": "701-627-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELLOWBIRD-BAKER",
        "first_name": "MARILYN",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "BSN, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "147222-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Town, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.