David Michael Baker, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2023021980 Issued in MO

Practice address

912 Oakridge Dr
Maryville, IL 62062-6676

Phone

(618) 977-8950

NPI assigned

Jun 22, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1558047936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 OAKRIDGE DR",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620626676",
            "telephone_number": "618-977-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 OAKRIDGE DR",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620626676",
            "telephone_number": "618-977-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057004598",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2023021980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Ray Austin, CRNA, DNP
• David C Autry, MD
• Samuel A Bailey, PA
• Barbara Baird, MS,CCC-SLP
• Sharon Kay Baird
• Norah Claire Farley Baker, M.D.
• Bandys Prescriptions, Inc
• Rahul Bansal, MD
• Michael Barajas, PA
• Jason E Barnett, MD

• Licensed Practical Nurse in Maryville, IL
• Providers in Maryville, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.