Active NPI
Marie Dawn Baker, APRN
- Family Nurse Practitioner
- Stanton, KY
National Provider Identifier
1659917524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3014098
- Practice address
- 321C E College Ave
Stanton, KY 40380-2325 - Phone
- (606) 663-9797
- Fax
- (606) 663-9470
- NPI assigned
- Nov 26, 2019
- Last updated
- Mar 22, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1137736 | KY | |
| Family Nurse Practitioner | 363LF0000X | 3014098 | KY | Primary |
| Family Medicine Physician | 207Q00000X | 1134736 | KY |
Addresses
Primary practice location
321C E College Ave
Stanton, KY 40380-2325
Mailing address
321C E College Ave
Stanton, KY 40380-2325
Phone (606) 663-9797
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134736 | Other | KY | KBN |
| F11190478 | Other | AANP | |
| 3014098 | Other | KY | KBN |
| 7100700080 | Medicaid | KY |
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 |
|---|---|---|---|
| 1134736 | KY | MD | Family Medicine Physician |
| 1137736 | KY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1659917524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321C E COLLEGE AVE",
"city": "STANTON",
"state": "KY",
"postal_code": "403802325",
"telephone_number": "606-663-9797",
"fax_number": "606-663-9470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321C E COLLEGE AVE",
"city": "STANTON",
"state": "KY",
"postal_code": "403802325",
"telephone_number": "606-663-9797",
"fax_number": "606-663-9470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "MARIE",
"middle_name": "DAWN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-26",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "1137736",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3014098",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "1134736",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KBN",
"identifier": "1134736",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP",
"identifier": "F11190478",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KBN",
"identifier": "3014098",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100700080",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stanton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.