Active NPI
Kailey Alexandra Baker, AT-C, OT-C
- Orthopaedic Surgery Physician
- Issaquah, WA
National Provider Identifier
1801379565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 18-0416
- Practice address
- 510 8TH Ave NE Ste 200
Issaquah, WA 98029-5436 - Phone
- (425) 392-3030
- NPI assigned
- Sep 10, 2018
- Last updated
- Sep 10, 2018
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | ATHL.A1.60875168 | WA | |
| Orthopaedic Surgery Physician | 207X00000X | 18-0416 | WA | Primary |
Addresses
Primary practice location
510 8TH Ave NE Ste 200
Issaquah, WA 98029-5436
Mailing address
17325 NE 85TH PL Apt 2a-101
Redmond, WA 98052-6644
Phone (434) 851-1213
Other practice location 1
1231 116th Ave NE Ste 750
Bellevue, WA 98004-3812
Phone (425) 455-3600
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 |
|---|---|---|---|
| 18-0416 | WA | MD | Orthopaedic Surgery Physician |
| ATHL.A1.60875168 | WA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Colorado | Current | Accepting new patients |
Interoperability endpoints
- krodriguez238220@direct.childrenscolorado.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1801379565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17325 NE 85TH PL APT 2A-101",
"city": "REDMOND",
"state": "WA",
"postal_code": "980526644",
"telephone_number": "434-851-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 8TH AVE NE STE 200",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980295436",
"telephone_number": "425-392-3030"
}
],
"practiceLocations": [
{
"address_1": "1231 116th Ave NE Ste 750",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980043812",
"country_code": "US",
"telephone_number": "425-455-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "KAILEY",
"middle_name": "ALEXANDRA",
"credential": "AT-C, OT-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "ATHL.A1.60875168",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "18-0416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.