Active NPI
Paula Baxley, MSW
- Social Worker
- Port St Lucie, FL
National Provider Identifier
1770801904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1190 SE Preston LN
Port St Lucie, FL 34983-3222 - Phone
- (772) 626-4673
- NPI assigned
- May 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
1190 SE Preston LN
Port St Lucie, FL 34983-3222
Mailing address
1190 S E Preston Lane
Port St Lucie, FL 34983
Phone (772) 626-4673
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398211200000",
"number": "1770801904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 S E PRESTON LANE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "34983",
"telephone_number": "772-626-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 SE PRESTON LN",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349833222",
"telephone_number": "772-626-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXLEY",
"first_name": "PAULA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-12",
"last_updated": "2014-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.