Amanda Baker

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S3870 Issued in MS

Practice address

207 W Jackson St
Suite 2
Ridgeland, MS 39157-2355

Phone

(601) 362-0859

NPI assigned

Jul 7, 2014

Last updated

Oct 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Houston Physical Therapy and Performance Center LLC

  • Physical Therapist
  • Houston, MS
  • NPI 1801566195
  NPD
• Laskin Therapy Group, P.a.

  • Hearing and Speech Clinic/Center
  • Ridgeland, MS
  • NPI 1629145255

  Speech-Language Pathologist

  NPD (past)
• Reconnect Wellness Bruce LLC

  • Preferred Provider Organization
  • Bruce, MS
  • NPI 1396286456
  NPD (past)

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1437565835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W JACKSON ST",
            "address_2": "SUITE 2",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572355",
            "telephone_number": "601-362-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W JACKSON ST",
            "address_2": "SUITE 2",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572355",
            "telephone_number": "601-362-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Divine Atwood, OT
• Autumn Tamor
• Jonathan Louis Baggett, PTA
• Katherine E Baggett, LPC
• Jessica Bailey, SLP
• Gagandeep Bal
• Balance Sleep Centers of Mississippi, Jackson, LLC (Balance Sleep Centers)
• Ann Parker Baldwin
• Mary Virginia Baldwin
• Janyce Ball, PT

• Speech-Language Pathologist in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.