Active NPI
Sandra Baade, OT
- Occupational Therapist
- Santa Fe, NM
National Provider Identifier
1487004438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3121
- Practice address
- 12 Firerock PL
Santa Fe, NM 87508-1325 - Phone
- (505) 699-6574
- NPI assigned
- Jun 20, 2016
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3121 | NM | Primary |
Addresses
Primary practice location
12 Firerock PL
Santa Fe, NM 87508-1325
Mailing address
12 Firerock PL
Santa Fe, NM 87508-1325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3121 | Medicaid | NM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3121 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1487004438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 FIREROCK PL",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875081325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 FIREROCK PL",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875081325",
"telephone_number": "505-699-6574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAADE",
"first_name": "SANDRA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-20",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "3121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3121",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.