Individual provider Active NPI

Mary Beth Baumgardner, BA

  • Case Management Agency
  • Louisa, KY
National Provider Identifier
1831220508
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Practice address
812 Town Hill Rd
Louisa, KY 41230-6396
Phone
(606) 483-0729
Fax
(606) 638-3003
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

812 Town Hill Rd
Louisa, KY 41230-6396

Mailing address

PO Box 1363
Louisa, KY 41230-4363
Phone (606) 483-0729

Other names 1

  • Mrs. Mary Beth Baumgardner Other name

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
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1831220508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1363",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412304363",
            "telephone_number": "606-483-0729",
            "fax_number": "606-638-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 TOWN HILL RD",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412306396",
            "telephone_number": "606-483-0729",
            "fax_number": "606-638-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARDNER",
        "first_name": "MARY",
        "middle_name": "BETH",
        "name_prefix": "Prof.",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BAUMGARDNER",
            "middle_name": "BETH",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisa, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.