Nickolus Daniel Baldwin
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Kent, OH
NPI 1649066002 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1649066002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1000 Morris Rd Apt 4
Kent, OH 44240-4039 - Phone
- (216) 624-8887
- NPI assigned
- Apr 15, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1000 Morris Rd Apt 4
Kent, OH 44240-4039
Mailing address
1000 Morris Rd Apt 4
Kent, OH 44240-4039
Phone (216) 624-8887
Other providers in Kent, OH
- Jessica Baker
- Rita Mary Baker
- Skye-Forest Alexandria Baker
- Jacob David Balca
- Charles Baldwin
- Susan D Ball
- Albert Russell Barber
- Susan Barker
- Diana Barkman
- Allison Kay Barnette
All providers in Kent, OH · Student in an Organized Health Care Education/Training Program in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.