Kristen Jensine Baker

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2507 Christie Dr
Lake Oswego, OR 97034

Phone

(503) 635-3416

NPI assigned

Nov 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Christiecare

  • Psychiatric Residential Treatment Facility
  • Marylhurst, OR
  • NPI 1881637809
  NPD (past)
• Youth Villages

  • Community/Behavioral Health Agency
  • Lake Oswego, OR
  • NPI 1740729490
  NPD (past)
• Youth Villages

  • Adolescent and Children Mental Health Clinic/Center
  • Lake Oswego, OR
  • NPI 1992243992
  NPD (past)

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

{
    "created_epoch": "1636848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1972269983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "MARYLHURST",
            "state": "OR",
            "postal_code": "970360368",
            "telephone_number": "503-867-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 CHRISTIE DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97034",
            "telephone_number": "503-635-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KRISTEN",
        "middle_name": "JENSINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-14",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Ann Bailey, PA-C
• William John Baily
• Jasroop Bains
• Alexis Baker, MT-BC
• Deborah Ann Baker, M.A.
• Anna Ball, DMD
• Lucinda Ann Ballas, ANP
• Anthony Baltazar
• Alison Rieke Bame, RDN
• Alexia Banks

• Peer Specialist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.