Individual provider Active NPI

Ashanti R Baker, MFCS, RDN

  • Registered Dietitian
  • North Las Vegas, NV
National Provider Identifier
1376015651
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86100175
Practice address
3741 Gretchen CT
North Las Vegas, NV 89081-6640
Phone
(512) 665-4315
NPI assigned
Dec 26, 2018
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86100175 Primary

Addresses

Primary practice location

3741 Gretchen CT
North Las Vegas, NV 89081-6640

Mailing address

3741 Gretchen CT
North Las Vegas, NV 89081-6640
Phone (512) 665-4315

Other identifiers 1

IdentifierTypeStateIssuer
86100175OtherCDR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ashanti.Baker3@va.gov North Florida / South Georgia Veterans Health System

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

Interoperability endpoints

  • Direct secure messaging: ashanti.baker@335000925634564.direct.elationemr.com
  • Direct secure messaging: ashanti.baker3@va.gov

NPI Registry JSON

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1376015651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 GRETCHEN CT",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816640",
            "telephone_number": "512-665-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 GRETCHEN CT",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816640",
            "telephone_number": "512-665-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ASHANTI",
        "middle_name": "R",
        "credential": "MFCS, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86100175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR",
            "identifier": "86100175",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ashanti.Baker3@va.gov",
            "affiliation": "Y",
            "endpointDescription": "encrypted direct email address",
            "affiliationName": "North Florida / South Georgia Veterans Health System",
            "address_1": "1601 SW Archer Rd",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326081135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.