Christy Linn Baker, PRSS
Individual provider Active NPI Peer Specialist · Logan, WV
NPI 1780310490 · NPPES record last updated Jul 26, 2022
Key facts
- NPI
- 1780310490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- 20-932 (WV)
- Practice address
- 509 Main St
Logan, WV 25601-3809 - Phone
- (304) 896-5008
- NPI assigned
- Jul 26, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20-932 | WV | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 20-932 | WV | Yes |
Addresses
Primary practice location
509 Main St
Logan, WV 25601-3809
Mailing address
509 Main St
Logan, WV 25601-3809
Phone (304) 896-5008
Other providers in Logan, WV
- Auxi Health LLC
- Fahad F. Bafakih
- Brandon Scott Bailey
- Jessica Bailey
- Christopher L Baker
- Julie Balentine
- Nicholas Ball II
- Shawn Everett Ballard
- Debra Sue Barber
- Bradley Barnett
All providers in Logan, WV · Peer Specialist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.