Individual provider Active NPI

Julie Marie Baker, PHD, CCC-SLP

  • Speech-Language Pathologist
  • Charleston, SC
National Provider Identifier
1619275997
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4050 Issued in SC
Practice address
895 Island Park Drive
Suite 201
Charleston, SC 29492-8314
Phone
(843) 603-4567
Fax
(843) 405-1321
NPI assigned
Mar 10, 2011
Last updated
Jun 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4050 SC Primary

Addresses

Primary practice location

895 Island Park Drive
Suite 201
Charleston, SC 29492-8314

Mailing address

895 Island Park Drive
Suite 201
Charleston, SC 29492-8314
Phone (843) 603-4567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4050SCMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1619275997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 ISLAND PARK DRIVE",
            "address_2": "SUITE 201",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928314",
            "telephone_number": "843-603-4567",
            "fax_number": "843-405-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 ISLAND PARK DRIVE",
            "address_2": "SUITE 201",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928314",
            "telephone_number": "843-603-4567",
            "fax_number": "843-405-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.