Jacqueline Tanie Baker

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

90 Medical Lane
Whitley City, KY 42653

Phone

(606) 376-2466

NPI assigned

Dec 18, 2007

Last updated

Nov 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jacqueline Tanie Foster Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Cumberland Regional Mental Health Mental Retardation Board, Inc.

  dba The Adanta Group

  • Community/Behavioral Health Agency
  • Somerset, KY
  • NPI 1336172642
  NPD (past)
• Lake Cumberland Regional MHMR Board Outpatient

  dba The Adanta Group Outpatient

  • Community/Behavioral Health Agency
  • Somerset, KY
  • NPI 1992831713
  NPD (past)

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1952585622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SOUTHERN SCHOOL RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MEDICAL LANE",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "42653",
            "telephone_number": "606-376-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JACQUELINE",
        "middle_name": "TANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "FOSTER",
            "middle_name": "TANIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adult Day Health, Inc. (Just Family Center - McCreary)
• American Health Management, Inc.
• Associates in Dentistry, LLC
• Associates in Eye Care, Inc.
• Grace Baker
• Justin Barnett
• Bluegrass Oxygen Inc (Bluegrass Home Oxygen)
• Bowynn Inc (Wynn Express Pharmacy)
• Kimberly Margarett Brumley, APRN
• Mark Anthony Bryant, PA-C

• Case Manager/Care Coordinator in Whitley City, KY
• Providers in Whitley City, KY by specialty
• Case Manager/Care Coordinator in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.