Carly Jean Baker

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

302971-031 Issued in WI

Practice address

510 N Court St
Sparta, WI 54656-1708

Phone

(608) 633-3333

NPI assigned

Aug 23, 2010

Last updated

Aug 23, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Carly Baker

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • West Salem, WI
  • NPI 1164739934
  NPD (past) Authorized official

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1710293204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 TILSON ST E",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546691213",
            "telephone_number": "608-792-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N COURT ST",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546561708",
            "telephone_number": "608-633-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CARLY",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "302971-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell A Anderson, DC
• Mercedes Lynn Antolak, OTR/L
• Zachary C April, DO
• Atlas Chiropractic Clinic SC
• Badgerland Emergency Medical Services
• Katarzyna Baluta, P.T.
• Rob N Bean, PT
• Dennis Austin Paul Bernau, PTA
• Megan Berner, RD
• Pauline J. Berra, O.T.

• Licensed Practical Nurse in Sparta, WI
• Providers in Sparta, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.