Individual provider Active NPI

Kaitlyn M. Baker, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1902568462
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016805 Issued in KY
Practice address
5575 Scottsville Rd
Bowling Green, KY 42104-6800
Phone
(270) 781-5111
NPI assigned
Oct 12, 2021
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3016805 KY Primary

Addresses

Primary practice location

5575 Scottsville Rd
Bowling Green, KY 42104-6800

Mailing address

201 Park St
Bowling Green, KY 42101-1708
Phone (270) 781-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211027003083 KY Practitioner - Nurse Practitioner 9436547221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Cleanslate Medical Group of Kentucky PLLCGroup PAC ID 4486909769, 18 clinicians

Practice addresses (Care Compare)

1232 Adams St
Suite 200
Bowling Green, KY 42101-3413
Phone (270) 467-7180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3016805KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Graves Gilbert Clinic PLLC CurrentSince Nov 1, 2021 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Nov 1, 2021 Accepting new patients
Cleanslate Medical Group of Kentucky PLLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

1225 Fairway St
Bowling Green, KY 42103
Phone (270) 781-3910

1232 Adams St
Ste 200
Bowling Green, KY 42101
Phone (270) 467-7180

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

2724 Nashville Rd
Bowling Green, KY 42101
Phone (270) 780-0560

5575 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 282-7088

5796 Nashville Rd
Bowling Green, KY 42101
Phone (270) 745-0987

6807 Louisville Rd
Bowling Green, KY 42101
Phone (270) 597-3757

1112 S Main St
Franklin, KY 42134
Phone (270) 586-1969

405 S L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 479-0260

210 E Gray St
Ste 803
Louisville, KY 40202
Phone (502) 582-6900

101 W Roberts St
Morgantown, KY 42261
Phone (270) 526-3841

59 Bobala Rd
Holyoke, MA 01040
Phone (413) 486-7819

Interoperability endpoints

  • Direct secure messaging: kaitlynbaker@ggc.allscriptsdirect.net

Organizations & group practices 3

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": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1902568462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011708",
            "telephone_number": "270-781-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046800",
            "telephone_number": "270-781-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KAITLYN",
        "middle_name": "M.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.