Active NPI
Tiffany Baldwin
- Athletic Trainer
- Saint Louis, MO
National Provider Identifier
1356798508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2015025520
- Practice address
- 655 Craig Rd Ste 160
Saint Louis, MO 63141-7173 - Phone
- (314) 305-1407
- NPI assigned
- May 18, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2015025520 | MO | Primary |
Addresses
Primary practice location
655 Craig Rd Ste 160
Saint Louis, MO 63141-7173
Mailing address
522 Rifle Ridge Dr
O Fallon, MO 63366-4858
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 |
|---|---|---|---|
| 2015025520 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463529600000",
"number": "1356798508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 RIFLE RIDGE DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633664858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 CRAIG RD STE 160",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417173",
"telephone_number": "314-305-1407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-18",
"last_updated": "2016-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2015025520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.