Active NPI
Kacie L Baker
- Genetic Counselor (M.S.)
- Newark, DE
National Provider Identifier
1336677657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- 25MJ00047100
- Practice address
- 4701 Ogletown Stanton Rd Ste 2200
Newark, DE 19713-7000 - Phone
- (302) 623-4593
- Fax
- (302) 623-4511
- NPI assigned
- May 31, 2017
- Last updated
- Nov 13, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | PENDING | DE | |
| Genetic Counselor (M.S.) | 170300000X | 25MJ00047100 | NJ | Primary |
Addresses
Primary practice location
4701 Ogletown Stanton Rd Ste 2200
Newark, DE 19713-7000
Mailing address
200 Hygeia Dr Ste 2300
Newark, DE 19713-2049
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MJ00047100 | NJ | MD | Genetic Counselor (M.S.) |
| PENDING | DE | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1336677657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HYGEIA DR STE 2300",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 OGLETOWN STANTON RD STE 2200",
"city": "NEWARK",
"state": "DE",
"postal_code": "197137000",
"telephone_number": "302-623-4593",
"fax_number": "302-623-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "KACIE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-31",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "DE",
"license": "PENDING",
"primary": false
},
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "NJ",
"license": "25MJ00047100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.