Jeffery Robert Baker, MA, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2020035276 Issued in MO

Practice address

1 Champions Dr Suite 200
Columbia, MO 65211-6505

Phone

(573) 239-8756

NPI assigned

Feb 11, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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

• Palm Beach Atlantic University

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • West Palm Beach, FL
  • NPI 1689044687

  Athletic Trainer

  NPD (past)

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1508257650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHAMPIONS DR SUITE 200",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652110001",
            "telephone_number": "573-239-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHAMPIONS DR SUITE 200",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652116505",
            "telephone_number": "573-239-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JEFFERY",
        "middle_name": "ROBERT",
        "credential": "MA, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-11",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2020035276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbaker@missouri.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1 Champions Dr Suite 200",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652116505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christi S Baker, SLP
• David Wayne Baker, PH.D.
• Erica Baker, MED, PLPC
• Helen Lucinda Baker, PHD
• Jason Michael Baker, HIS
• Kristin Michelle Baker, LCSW
• Kyah Amani Baker
• Megan Baker
• Shauna Marie Baker, LPC
• Shadi Bakjaji, MD

• Athletic Trainer in Columbia, MO
• Providers in Columbia, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.