Active NPI
Kierra Baynard
- Social Worker
- Philadelphia, PA
National Provider Identifier
1376884577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1217 Spring Garden St
1St FL
Philadelphia, PA 19123-3212 - Phone
- (215) 769-3561
- Fax
- (215) 769-3860
- NPI assigned
- Mar 13, 2013
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1217 Spring Garden St
1St FL
Philadelphia, PA 19123-3212
Mailing address
1217 Spring Garden St
1St FL
Philadelphia, PA 19123-3212
Phone (215) 769-3561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102486994001 | Medicaid | PA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363132800000",
"number": "1376884577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 SPRING GARDEN ST",
"address_2": "1ST FL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191233212",
"telephone_number": "215-769-3561",
"fax_number": "215-769-3860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 SPRING GARDEN ST",
"address_2": "1ST FL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191233212",
"telephone_number": "215-769-3561",
"fax_number": "215-769-3860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYNARD",
"first_name": "KIERRA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-13",
"last_updated": "2013-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102486994001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.