Leeann Justine Baxter

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2730 Shadelands Dr BLDG 10
Walnut Creek, CA 94598-2538

Phone

(925) 779-0110

NPI assigned

Mar 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Easter Seals Bay Area

  • Early Intervention Provider Agency
  • Fairfield, CA
  • NPI 1245536598
  NPD (past)
• Easter Seals Bay Area

  • Early Intervention Provider Agency
  • Lakeport, CA
  • NPI 1427526847
  NPD (past)
• Easter Seals Bay Area

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1861757296
  NPD (past)
• Easter Seals Bay Area

  • Behavior Analyst
  • Hayward, CA
  • NPI 1881040061
  NPD (past)
• Easter Seals Bay Area

  • Behavior Analyst
  • San Jose, CA
  • NPI 1902134547
  NPD (past)

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1871052258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SHADELANDS DR BLDG 10",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982538",
            "telephone_number": "925-779-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SHADELANDS DR BLDG 10",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982538",
            "telephone_number": "925-779-0110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 A St",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945414113",
            "country_code": "US",
            "telephone_number": "510-826-2960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Parallel Dr",
            "address_purpose": "LOCATION",
            "city": "Lakeport",
            "state": "CA",
            "postal_code": "954539388",
            "country_code": "US",
            "telephone_number": "707-263-3949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 S Winchester Blvd Ste N-260",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951283901",
            "country_code": "US",
            "telephone_number": "408-689-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "744 Empire St Ste 160",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945335562",
            "country_code": "US",
            "telephone_number": "707-399-9413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5601 Arnold Rd Fl 102",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "CA",
            "postal_code": "945687726",
            "country_code": "US",
            "telephone_number": "925-248-9925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1633 Bayshore Hwy Ste 155",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940101515",
            "country_code": "US",
            "telephone_number": "650-376-4230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Grand Ave Ste 225",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946123769",
            "country_code": "US",
            "telephone_number": "510-506-7910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1670 Corporate Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949546947",
            "country_code": "US",
            "telephone_number": "707-308-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "LEEANN",
        "middle_name": "JUSTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baumgartl Medical Corporation
• Elizabeth Bautista
• James Bautista
• Justin Bautista
• Anna Y. Bavykina, MD
• Richard Baxter, M.D.
• Bay Area Colon & Rectal Surgeons
• Bay Area Foot Care, Inc
• Bay Area Minds Marriage and Family Therapy, Inc
• Bay Area Neurointensivists Inc

• Behavior Technician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.