Tyler Courtney Baker

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS5278 Issued in FL

Practice address

4626 Clyde Morris Blvd S Ste 1
Port Orange, FL 32129-6402

Phone

(386) 492-2444

NPI assigned

Feb 9, 2019

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1549670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549670400000",
    "number": "1902361371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 CLYDE MORRIS BLVD STE 1",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 CLYDE MORRIS BLVD S STE 1",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296402",
            "telephone_number": "386-492-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "TYLER",
        "middle_name": "COURTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-09",
        "last_updated": "2019-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Bachan
• William Badman
• Brook Bailey
• Karen Baker
• Lindsey Marie Baker, PMHNP
• Jeannette Balboni
• David McGrath Baldwin Jr., PH.D.
• Thomas Richard Baldwin, CRNA
• Mary Alice Ball
• Luke Banda

• Hearing Instrument Specialist in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.