Organization Active NPI

Beth Anne Baxter, RN/CS, LLC

  • Adult Medicine Physician
  • Bloomington, IN
National Provider Identifier
1588845382
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
71000050A Issued in IN
Legal business name
BETH ANNE BAXTER, RN/CS, LLC
Practice address
822 W 1St St
Ste 1
Bloomington, IN 47403-2384
Phone
(812) 323-0971
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Beth A Baxter, NP
Title
President
Phone
(812) 323-0971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 71000050A IN Primary

Addresses

Primary practice location

822 W 1St St
Ste 1
Bloomington, IN 47403-2384

Mailing address

822 W 1St St
Ste 1
Bloomington, IN 47403-2384
Phone (812) 323-0971

National Provider Directory

National Provider Directory

Locations

822 W 1st St
Ste 1
Bloomington, IN 47403
Phone (812) 323-0971

901 W 1st St
#A
Bloomington, IN 47403
Phone (812) 323-0971

901 W 1st St
Bloomington, IN 47403
Phone (812) 323-0971

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1588845382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 W 1ST ST",
            "address_2": "STE 1",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032384",
            "telephone_number": "812-323-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 W 1ST ST",
            "address_2": "STE 1",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032384",
            "telephone_number": "812-323-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ANNE BAXTER, RN/CS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-323-0971",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IN",
            "license": "71000050A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.