Individual provider Active NPI

Shannon Helton Baker, IBCLC

  • Lactation Consultant (Non-RN)
  • Charlotte, NC
National Provider Identifier
1821431255
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
11014320 Issued in NC
Practice address
6324 Fairview Rd Ste 435
Charlotte, NC 28210-3373
Phone
(980) 302-8835
NPI assigned
Apr 16, 2013
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X 11014320 NC Primary

Addresses

Primary practice location

6324 Fairview Rd Ste 435
Charlotte, NC 28210-3373

Mailing address

6324 Fairview Rd Ste 435
Charlotte, NC 28210-3373
Phone (980) 302-8835

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

LicenseStateTypeSpecialty
11014320NCMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Lactation Consultant, Non-RN CurrentSince Aug 28, 2022 Accepting new patients
Novant Health Medical Group, LLC PastSince Aug 28, 2022 Accepting new patients

Locations

6324 Fairview Rd
Ste 435
Charlotte, NC 28210
Phone (980) 302-8835

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1821431255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6324 FAIRVIEW RD STE 435",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103373",
            "telephone_number": "980-302-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 FAIRVIEW RD STE 435",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103373",
            "telephone_number": "980-302-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SHANNON",
        "middle_name": "HELTON",
        "name_prefix": "Mrs.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2022-08-15",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NC",
            "license": "11014320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.