Kimberley M Baucom

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

6834 Melody LN
Charlotte, NC 28215-7786

Phone

(704) 712-9856

NPI assigned

Jan 18, 2023

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 18, 2023.

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1952016560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6834 MELODY LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157786",
            "telephone_number": "704-712-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6834 MELODY LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157786",
            "telephone_number": "704-712-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUCOM",
        "first_name": "KIMBERLEY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Adam Batts, LIC. OPTICIAN
• Ashleigh Baucom, NP
• Courtney Baucom
• Daniel Baucom, MA, LCMHCA
• Jo Anne Baucom, LPTA
• Daniel Roy Bauer, M.D.
• Kaylen Buckner Bauer
• Kenneth Robert Bauer, D.C.
• Steven Robert Bauer
• Keith James Baugh, MD

• All providers in Charlotte, NC
• Doula in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.