Lyda A Baker, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2002 Issued in AK

Practice address

951 W Seldon Rd Apt 3
Wasilla, AK 99654-3464

Phone

(907) 884-6604

NPI assigned

Feb 28, 2007

Last updated

Dec 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1609903186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 W NORTHERN LIGHTS BLVD # 830",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032337",
            "telephone_number": "907-884-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 W SELDON RD APT 3",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996543464",
            "telephone_number": "907-884-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "LYDA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "2002",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AK",
            "license": "2002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LISCENSE",
            "identifier": "2002",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00071986",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hunter Basil Bailey
• Natalie Bailey
• Rebekah Bailey, LCSW
• Josiah Gabriel Baisch
• Lauren Baker
• Megan Baker
• Bald Mountain View Assisted Living Home
• Krystal L. Banks, PHD., LCPC
• Sarah Anne Bannister, MA, LPC
• Katharine Bannon

• Pediatric Occupational Therapist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Pediatric Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.