Individual provider Active NPI

Ashley Thompson-Baker

  • Prosthetics Case Management
  • Matthews, NC
National Provider Identifier
1831808625
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
101642 Issued in NC
Practice address
9949 E Independence Blvd # 19
Matthews, NC 28105-4665
Phone
(317) 721-5030
NPI assigned
Nov 21, 2022
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 101642 NC Primary

Addresses

Primary practice location

9949 E Independence Blvd # 19
Matthews, NC 28105-4665

Mailing address

9949 E Independence Blvd # 19
Matthews, NC 28105-4665

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
101642NCMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
Bossart Hair LLC CurrentSince Nov 27, 2022 Accepting new patients

Locations

9949 E Independence Blvd
#19
Matthews, NC 28105
Phone (317) 721-5030

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.

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1831808625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9949 E INDEPENDENCE BLVD # 19",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9949 E INDEPENDENCE BLVD # 19",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054665",
            "telephone_number": "317-721-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON-BAKER",
        "first_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NC",
            "license": "101642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.