Selena Lauren Baker, RDN, LD
Individual provider Active NPI Registered Dietitian · Lafayette, IN
NPI 1336724541 · NPPES record last updated Mar 10, 2021
Key facts
- NPI
- 1336724541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 37003070A (IN)
- Practice address
- 5165 McCarty LN
Lafayette, IN 47905-8764 - Phone
- (765) 838-7493
- NPI assigned
- Mar 10, 2021
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37003070A | IN | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37003070A | IN | Yes |
Addresses
Primary practice location
5165 McCarty LN
Lafayette, IN 47905-8764
Mailing address
1808 Perrine St
Lafayette, IN 47904-1446
Phone (765) 337-2093
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37003070A | Other | IN | INDIANA PROFESSIONAL LICENSING AGENCY MEDICAL LICENSING BOARD OF INDIANA |
| 984074 | Other | COMMISSION ON DIETETIC REGISTRATION |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbaker29@iuhealth.org | Direct |
Other providers in Lafayette, IN
- Esther Bakare
- Alex L Baker
- Bindi Baker
- Charlotte L Baker
- Lisa Baker
- Terry Richard Baker
- Noor Bakroun
- Nivas Balasubramaniyam
- James D Baldwin
- Rodney L Ball
All providers in Lafayette, IN · Registered Dietitian in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2021. 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.