Whitney Baeza

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

313970 Issued in TX

Practice address

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Phone

(915) 540-9548

NPI assigned

Nov 5, 2015

Last updated

Nov 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1639542012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "915-540-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "915-540-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZA",
        "first_name": "WHITNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "313970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Del Carmen Aviles, PSY. D.
• Ludovic Azafack Tsague, PHARMD
• Thomas Allen Babb, R.PH.
• Sean Michael Bacha, DO
• Christine Baehr
• Doris Walker Baidy, LICSW
• Jasmine Nichole Bailey, PHARMD
• Daniel Wayne Baker, PA-C
• Elizabeth Leigh Baker, RN
• Jeffrey Baker, MEDICAL TECHNOLOGIST

• Licensed Vocational Nurse in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Licensed Vocational Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.