Individual provider Active NPI

Kimberly Irene Baird

  • Home Health Aide
  • Springfield, OH
National Provider Identifier
1457088346
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
RQ463083 Issued in OH
Practice address
1405 Attleboro Ave
Springfield, OH 45503-2004
Phone
(740) 339-9591
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X RQ463083 OH Primary

Addresses

Primary practice location

1405 Attleboro Ave
Springfield, OH 45503-2004

Mailing address

1405 Attleboro Ave
Springfield, OH 45503-2004
Phone (740) 339-9591

Other identifiers 1

IdentifierTypeStateIssuer
01191982MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 279705123 Direct

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

LicenseStateTypeSpecialty
RQ463083OHMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1457088346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 ATTLEBORO AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032004",
            "telephone_number": "740-339-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 ATTLEBORO AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032004",
            "telephone_number": "740-339-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "KIMBERLY",
        "middle_name": "IRENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "RQ463083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01191982",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "279705123",
            "affiliation": "N",
            "endpointDescription": "279705123",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1405 Attleboro Ave",
            "city": "Springfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "455032004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.