Active NPI
Danielle Marie Baldwin, ATC
- Athletic Trainer
- Grand Rapids, MI
National Provider Identifier
1790058121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601000675
- Practice address
- 3101 Leonard St NE
Grand Rapids, MI 49525-5832 - Phone
- (616) 862-9605
- NPI assigned
- Feb 15, 2012
- Last updated
- Feb 15, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601000675 | MI | Primary |
Addresses
Primary practice location
3101 Leonard St NE
Grand Rapids, MI 49525-5832
Mailing address
1015 Eastmont Dr SE
Grand Rapids, MI 49546-3735
Phone (616) 862-9605
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601000675 | MI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1790058121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 EASTMONT DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463735",
"telephone_number": "616-862-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 LEONARD ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495255832",
"telephone_number": "616-862-9605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "DANIELLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-15",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601000675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.