Active NPI
Beth Anne Baxter, RN/CS, LLC
- Adult Medicine Physician
- Bloomington, IN
National Provider Identifier
1588845382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 71000050A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 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 DirectoryLocations
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.
-
- Surgery Physician
- Bloomington, IN
- NPI 1952359523
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.