Individual provider Active NPI

Timothy Baggett, NP-C

  • Occupational Health Nurse Practitioner
  • Saline, MI
National Provider Identifier
1588155444
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
4704286675 Issued in MI
Practice address
7700 E Michigan Ave
Saline, MI 48176-1721
Phone
(734) 429-6400
NPI assigned
May 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X 4704286675 MI Primary

Addresses

Primary practice location

7700 E Michigan Ave
Saline, MI 48176-1721

Mailing address

140 Mulberry St
Wyandotte, MI 48192-4628
Phone (734) 752-0101

Other identifiers 1

IdentifierTypeStateIssuer
2083X0100XOtherMIOCCUPATIONAL MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus CurrentSince Dec 1, 2024 Accepting new patients

Locations

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1588155444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MULBERRY ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924628",
            "telephone_number": "734-752-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 E MICHIGAN AVE",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761721",
            "telephone_number": "734-429-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGGETT",
        "first_name": "TIMOTHY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "MI",
            "license": "4704286675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL MEDICINE",
            "identifier": "2083X0100X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

Verify at the official NPI Registry.