Individual provider Active NPI

Robin Matlock Baker, AU.D.

  • Audiologist
  • Tullahoma, TN
National Provider Identifier
1841268638
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1302 Issued in TN
Practice address
507 NW Atlantic St
Tullahoma, TN 37388-3504
Phone
(931) 393-4332
Fax
(931) 393-2304
NPI assigned
Mar 9, 2006
Last updated
Aug 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1302 TN Primary

Addresses

Primary practice location

507 NW Atlantic St
Tullahoma, TN 37388-3504

Mailing address

507 NW Atlantic St
Tullahoma, TN 37388-3504
Phone (931) 393-4332

Other identifiers 1

IdentifierTypeStateIssuer
3194373MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080819000278 TN Practitioner - Qualified Audiologist 8527133040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

507 NW Atlanta St
Tullahoma, TN 37388-3504
Phone (931) 393-4332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1302TNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hearwell, LLC Audiologist CurrentSince Mar 17, 2021 Accepting new patients
Canonico Ear, Nose and Throat, P.C. Audiologist CurrentSince Aug 1, 2008 Accepting new patients

Locations

310 Colloredo Blvd
Shelbyville, TN 37160
Phone (931) 680-9400

507 NW Atlantic St
Tullahoma, TN 37388
Phone (931) 393-4332

507 NW Atlantic St
Ste 1
Tullahoma, TN 37388

507 NW Atlantic St
Ste 2
Tullahoma, TN 37388
Phone (931) 393-4332

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1841268638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 NW ATLANTIC ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883504",
            "telephone_number": "931-393-4332",
            "fax_number": "931-393-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 NW ATLANTIC ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883504",
            "telephone_number": "931-393-4332",
            "fax_number": "931-393-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ROBIN",
        "middle_name": "MATLOCK",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3194373",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.