Jacob Ryan Baisden

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

374U00000X Issued in OH

Practice address

25 S High St
Jackson, OH 45640-1812

Phone

(740) 988-8637

NPI assigned

Dec 10, 2021

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 10, 2021.

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1760141386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S HIGH ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401812",
            "telephone_number": "740-988-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S HIGH ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401812",
            "telephone_number": "740-988-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAISDEN",
        "first_name": "JACOB",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "374U00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashland Hospital Corporation
• Ashland Hospital Corporation
• Kimber L Auxier, QMHS
• Hannah Rose Bachtel, CNP
• Nicholas Bachtel, PHARM.D
• Sabrina Sue Baker, RN
• Patrick Brian Ball, DO
• Alexander Cole Barber
• Trelynd Levi Barger
• Brookesanne Pauline Barnett, APRN

• All providers in Jackson, OH
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.

Verify at the official NPI Registry.