Cynthia Baker
Individual provider Active NPI Licensed Practical Nurse · Greenwood, SC
NPI 1508529413 · NPPES record last updated Oct 18, 2021
Key facts
- NPI
- 1508529413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 50275 (SC)
- Practice address
- 1547 Parkway
Greenwood, SC 29646-4081 - Phone
- (864) 229-7120
- NPI assigned
- Oct 18, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50275 | SC | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Current |
Accepting new patients |
Locations
1547 Parkway
Greenwood, SC 29646
Phone (864) 223-8331
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 50275 | SC | Yes |
Addresses
Primary practice location
1547 Parkway
Greenwood, SC 29646-4081
Mailing address
1547 Parkway
Greenwood, SC 29646-4081
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3335 | Other | SC | MEDICARE |
| 421504 | Medicaid | SC |
Other providers in Greenwood, SC
- Kristen Ayer
- Matthew S Z Bachinski
- Mallikarjuna Bagewadi Ellur
- Melissa Jean Bailey
- Alan Baker
- Roy P Baker
- Anju Shyam Balani
- Baltimore Orthopedics and Rehabilitation USA Inc
- Eric Riley Bang
- Tonya S Barksdale
All providers in Greenwood, SC · Licensed Practical Nurse in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.