Kimberly Michelle Baker

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

00000 Issued in AL

Practice address

2727 Boultier St Apt 205
Montgomery, AL 36106-2230

Phone

(205) 370-4834

NPI assigned

Oct 3, 2022

Sex

Female

Sole proprietor

No

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": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1972227924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 BOULTIER ST APT 205",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062230",
            "telephone_number": "205-370-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 BOULTIER ST APT 205",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062230",
            "telephone_number": "205-370-4834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Fairview Ave",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361062114",
            "country_code": "US",
            "telephone_number": "205-370-4834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "AL",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Elizabeth Bailey, B.S. PHARM, PHARMD
• Tayna Bailey
• Bailey's Compassion Care LLC
• Christopher Landon Baker
• James William Baker, EDS LPC
• Lawrence Vernon Baker Jr., LPC-S
• Raven Baker
• Vamshi Krishna Sai Balasetti, M.D.
• Jerrie Denise Baldwin, CRNP
• Jacob E Ballard, ATC

• Sports Medicine (Internal Medicine) Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Sports Medicine (Internal Medicine) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.