Active NPI
Farris G Baker, SLP
- Speech-Language Pathologist
- Amory, MS
National Provider Identifier
1659814911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S3777
- Practice address
- 1215 Earl Frye Blvd
Amory, MS 38821-5509 - Phone
- (662) 416-3899
- NPI assigned
- Nov 18, 2016
- Last updated
- Aug 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S3777 | MS | Primary |
Addresses
Primary practice location
1215 Earl Frye Blvd
Amory, MS 38821-5509
Mailing address
1215 Earl Frye Blvd
Amory, MS 38821-5509
Phone (662) 416-3899
Other practice location 1
1112 Highway 278 E Ste A
Amory, MS 38821-5626
Phone (662) 257-4048
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S3777 | MS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Mississippi LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Crystal Springs, MS
- NPI 1801333521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1659814911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 EARL FRYE BLVD",
"city": "AMORY",
"state": "MS",
"postal_code": "388215509",
"telephone_number": "662-416-3899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 EARL FRYE BLVD",
"city": "AMORY",
"state": "MS",
"postal_code": "388215509",
"telephone_number": "662-416-3899"
}
],
"practiceLocations": [
{
"address_1": "1112 Highway 278 E Ste A",
"address_purpose": "LOCATION",
"city": "Amory",
"state": "MS",
"postal_code": "388215626",
"country_code": "US",
"telephone_number": "662-257-4048",
"fax_number": "662-257-4080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "FARRIS",
"middle_name": "G",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-18",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S3777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amory, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.