Charlotte Baker, R.D.
Individual provider Active NPI Registered Dietitian · Amory, MS
NPI 1356446231 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1356446231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- D461 (MS)
- Practice address
- 1105 Earl Frye Blvd
Amory, MS 38821-5500 - Phone
- (662) 256-6261
- Fax
- (662) 256-6181
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D461 | MS | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amory Primary Medicine Clinic | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D461 | MS | Yes |
Addresses
Primary practice location
1105 Earl Frye Blvd
Amory, MS 38821-5500
Mailing address
1105 Earl Frye Blvd
Amory, MS 38821-5500
Phone (662) 256-6261
Other providers in Amory, MS
- Amory Surgery Clinic, PLLC
- Amory Urgent Care, LLC
- William H Austin
- Amy Bailey
- Joseph Bailey
- Farris G Baker
- Bret Ballard
- John Brandon Barnett
- Morgan Leigh Beard
- Rylee Blakney
All providers in Amory, MS · Registered Dietitian in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.