Active NPI
Deborah Baker, AU.D.
- Audiologist
- Mountain Home, AR
National Provider Identifier
1962401828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A#40
- Practice address
- 626 Burnett Dr
Mountain Home, AR 72653-2941 - Phone
- (870) 424-4200
- Fax
- (870) 424-4327
- NPI assigned
- Jul 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A#40 | AR | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | A#40 | AR | |
| Assistive Technology Practitioner Audiologist | 231HA2400X | A#40 | AR |
Addresses
Primary practice location
626 Burnett Dr
Mountain Home, AR 72653-2941
Mailing address
626 Burnett Dr
Mountain Home, AR 72653-2941
Phone (870) 424-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56101 | Other | AR | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A#40 | AR | MD | Assistive Technology Practitioner Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1962401828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 BURNETT DR",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532941",
"telephone_number": "870-424-4200",
"fax_number": "870-424-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 BURNETT DR",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532941",
"telephone_number": "870-424-4200",
"fax_number": "870-424-4327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "DEBORAH",
"name_prefix": "Mrs.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AR",
"license": "A#40",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AR",
"license": "A#40",
"primary": false
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "AR",
"license": "A#40",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "56101",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.