Individual provider Active NPI

Jody Williams Baker, RN, MSN, APN, C.

  • Nurse Practitioner
  • Sewell, NJ
National Provider Identifier
1750354593
Registry record updated Oct 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00065900 Issued in NJ
Practice address
211 County House Rd
Sewell, NJ 08080-2525
Phone
(877) 823-5230
Fax
(215) 823-5265
NPI assigned
Feb 10, 2006
Last updated
Oct 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00065900 NJ Primary

Addresses

Primary practice location

211 County House Rd
Sewell, NJ 08080-2525

Mailing address

508 Shetland Court
Building a. Side Entrance
Sewell, NJ 08080-2512
Phone (609) 706-8302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231027000910 NJ Order and Referring Only - General PracticePractitioner - General Practice 5597764696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ00065900NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Veterans Affairs Current Accepting new patients
South Jersey Radiology Associates P a Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jody.baker@direct.va.gov
  • Direct secure messaging: v4vaphiladelphiagloucesterpact5@direct.va.gov

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696723200000",
    "number": "1750354593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 SHETLAND COURT",
            "address_2": "BUILDING A. SIDE ENTRANCE",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802512",
            "telephone_number": "609-706-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 COUNTY HOUSE RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802525",
            "telephone_number": "877-823-5230",
            "fax_number": "215-823-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JODY",
        "middle_name": "WILLIAMS",
        "credential": "RN, MSN, APN, C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-10-08",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00065900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.