Active NPI
Lisa Carol Baker, M.D.
- Pediatrics Physician
- Montrose, CO
National Provider Identifier
1700045192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DR-42407
- Practice address
- 31329 S Highway 550
Montrose, CO 81401-8434 - Phone
- (254) 640-5655
- NPI assigned
- Jun 2, 2008
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DR-42407 | CO | Primary |
Addresses
Primary practice location
31329 S Highway 550
Montrose, CO 81401-8434
Mailing address
117 Oriental Rd
Waco, TX 76710-7236
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR-42407 | CO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1700045192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ORIENTAL RD",
"city": "WACO",
"state": "TX",
"postal_code": "767107236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31329 S HIGHWAY 550",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814018434",
"telephone_number": "254-640-5655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "LISA",
"middle_name": "CAROL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR-42407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.