Candace Baker

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5057-C Issued in AR

Practice address

2223 Washington Ave Ste C
Conway, AR 72032-2765

Phone

(501) 339-3860

Fax

(833) 653-6333

NPI assigned

Jun 27, 2011

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

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: candace.baker.1@30520.direct.athenahealth.com

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.

• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448

  AR

  Medicare reassignment NPD
• Lead, Teach, Mentor LLC

  • Community/Behavioral Health Agency
  • Conway, AR
  • NPI 1497167548
  NPD (past)

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1972899052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 WASHINGTON AVE STE C",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322765",
            "telephone_number": "501-339-3860",
            "fax_number": "833-653-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 WASHINGTON AVE STE C",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322765",
            "telephone_number": "501-339-3860",
            "fax_number": "833-653-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728013362",
            "country_code": "US",
            "telephone_number": "479-968-1298",
            "fax_number": "479-968-6053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CANDACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "5057-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baker Ambulatory Surgery Center
• Baker Drug Company
• Baker Eye Institute
• Baker Medical, Inc.
• Ashlyn Grace Baker
• Dann Baker
• David Littleton Baker Jr., MD
• James R Baker, PHARM. D.
• Jennifer Baker, PT
• John Dale Baker, RPH

• All providers in Conway, AR
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.