Individual provider Active NPI

Karen Rae Shue Baker, RDH

  • Dental Hygienist
  • Battle Creek, MI
National Provider Identifier
1700061496
Registry record updated Jan 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2902003245 Issued in MI
Practice address
424 Riverside Dr
Suite 200
Battle Creek, MI 49015-3440
Phone
(269) 964-7113
Fax
(269) 964-6813
NPI assigned
Jan 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2902003245 MI Primary

Addresses

Primary practice location

424 Riverside Dr
Suite 200
Battle Creek, MI 49015-3440

Mailing address

424 Riverside Dr
Suite 200
Battle Creek, MI 49015-3440
Phone (269) 964-7113

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

State licenses

LicenseStateTypeSpecialty
2902003245MIMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1199145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199145600000",
    "number": "1700061496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 RIVERSIDE DR",
            "address_2": "SUITE 200",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153440",
            "telephone_number": "269-964-7113",
            "fax_number": "269-964-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 RIVERSIDE DR",
            "address_2": "SUITE 200",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153440",
            "telephone_number": "269-964-7113",
            "fax_number": "269-964-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KAREN RAE",
        "middle_name": "SHUE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-01",
        "last_updated": "2008-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902003245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.

Verify at the official NPI Registry.