Individual provider Active NPI

Lisa Alene Baker

  • Peer Specialist
  • Wenatchee, WA
National Provider Identifier
1639682933
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
60796870 Issued in WA
Practice address
1014 Walla Walla Ave
Wenatchee, WA 98801-1523
Phone
(509) 663-0034
Fax
(509) 663-3726
NPI assigned
Nov 8, 2017
Last updated
Nov 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 60796870 WA Primary

Addresses

Primary practice location

1014 Walla Walla Ave
Wenatchee, WA 98801-1523

Mailing address

1014 Walla Walla Ave
Wenatchee, WA 98801-1523
Phone (509) 663-0034

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60796870WAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Home Society of Washington Past Accepting new patients
Children's Home Society Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1639682933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 WALLA WALLA AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011523",
            "telephone_number": "509-663-0034",
            "fax_number": "509-663-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 WALLA WALLA AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011523",
            "telephone_number": "509-663-0034",
            "fax_number": "509-663-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "LISA",
        "middle_name": "ALENE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "60796870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.