Individual provider Active NPI

Jennifer W. Baker

  • Speech-Language Pathologist
  • Huntington, WV
National Provider Identifier
1770758328
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-1204 Issued in WV
Practice address
1 John Marshall Dr
Huntington, WV 25755-0001
Phone
(304) 696-3641
Fax
(304) 696-2986
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-8987 OH
Speech-Language Pathologist 235Z00000X SLP-1204 WV Primary

Addresses

Primary practice location

1 John Marshall Dr
Huntington, WV 25755-0001

Mailing address

1 John Marshall Dr
Huntington, WV 25755-0001
Phone (304) 696-3641

Other identifiers 2

IdentifierTypeStateIssuer
0094740MedicaidOH
3810016635MedicaidWV

Other names 1

  • Jennifer R. Whaley Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.baker@marshall.cernerdirect.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP-8987OHMDSpeech-Language Pathologist
SLP-1204WVMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: jennifer.baker@marshall.cernerdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1770758328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JOHN MARSHALL DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257550001",
            "telephone_number": "304-696-3641",
            "fax_number": "304-696-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JOHN MARSHALL DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257550001",
            "telephone_number": "304-696-3641",
            "fax_number": "304-696-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JENNIFER",
        "middle_name": "W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP-8987",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094740",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810016635",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.baker@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1 John Marshall Dr",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257550001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WHALEY",
            "middle_name": "R.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.