Individual provider Active NPI

Bridgette M Baker, RNC, CNM, WHNP-C

  • Advanced Practice Midwife
  • Sheridan, WY
National Provider Identifier
1649252297
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
12008.111 Issued in WY
Practice address
1333 W 5TH St Ste 210
Sheridan, WY 82801-2752
Phone
(307) 672-2522
Fax
(307) 672-3732
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 12008.111 WY Primary

Addresses

Primary practice location

1333 W 5TH St Ste 210
Sheridan, WY 82801-2752

Mailing address

1333 W 5TH St, Ste 110
Sheridan, WY 82801-2752
Phone (307) 672-2522

Other identifiers 4

IdentifierTypeStateIssuer
110391101MedicaidWY
114080900MedicaidWY
12008.0111OtherWYSTATE LICENSE NUMBER
0437308MedicaidMT

Other names 1

  • Bridgette M Gill Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bbaker@sheridan.cernerdirect.com Direct

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
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12008.111WYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Women'S Health P.C. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649252297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W 5TH ST, STE 110",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012752",
            "telephone_number": "307-672-2522",
            "fax_number": "307-672-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W 5TH ST STE 210",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012752",
            "telephone_number": "307-672-2522",
            "fax_number": "307-672-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BRIDGETTE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RNC, CNM, WHNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2023-03-07",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WY",
            "license": "12008.111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110391101",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114080900",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "12008.0111",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0437308",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbaker@sheridan.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1333 W 5th St Ste 210",
            "city": "Sheridan",
            "state": "WY",
            "country_code": "US",
            "postal_code": "828012752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRIDGETTE",
            "last_name": "GILL",
            "middle_name": "M",
            "credential": "RNC, CNM, WHNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.