Jennifferr Louise Baird, R.N.

Individual provider Active NPI Registered Nurse · Bethany, OK

NPI 1457568388 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1457568388
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R0062880 (OK)
Practice address
6801 NW 39TH Expy
Bethany, OK 73008-2501
Phone
(405) 787-6772
Fax
(405) 787-1018
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R0062880OKMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0062880 OK Yes

Addresses

Primary practice location

6801 NW 39TH Expy
Bethany, OK 73008-2501

Mailing address

2500 Sycamore Ave
Oklahoma City, OK 73128-3025
Phone (405) 550-6008

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457568388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SYCAMORE AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731283025",
            "telephone_number": "405-550-6008",
            "fax_number": "405-787-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 NW 39TH EXPY",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082501",
            "telephone_number": "405-787-6772",
            "fax_number": "405-787-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "JENNIFFERR",
        "middle_name": "LOUISE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0062880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, OK

All providers in Bethany, OK · Registered Nurse in Oklahoma

Sources for this page

Verify at the official NPI Registry.