Stormie S Baxter, M. ED.

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

22200585 Issued in UT

Practice address

515 W Grangeville Blvd
Hanford, CA 93230-2861

Phone

(720) 642-0459

NPI assigned

Mar 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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.

• Melon Health

  • Prevention Professional
  • Hermosa Beach, CA
  • NPI 1801470729
  NPD Authorized official

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1881199339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W GRANGEVILLE BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932302861",
            "telephone_number": "720-642-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W GRANGEVILLE BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932302861",
            "telephone_number": "720-642-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "STORMIE",
        "middle_name": "S",
        "credential": "M. ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "CO",
            "license": "53459",
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "UT",
            "license": "22200585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Bassett
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• Reyna P Bautista
• Roger Bautista, D.O.
• Bayrakdarian Hanford DMD Inc a California Professional Dental Office C
• Baz Allergy, Asthma & Sinus Center, Inc.
• Stephanie Bealer
• Roger Donald Bean, DDS
• Bradley Austin Beard, M.D.

• Prevention Professional in Hanford, CA
• Providers in Hanford, CA by specialty
• Prevention Professional in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.