Active NPI
Mari Agnes Baker, HIS
- Hearing Instrument Specialist
- Wauwatosa, WI
National Provider Identifier
1992929756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1120
- Practice address
- 3180 N 124TH St
Wauwatosa, WI 53222-4062 - Phone
- (414) 442-6000
- Fax
- (414) 442-8378
- NPI assigned
- Apr 12, 2007
- Last updated
- Oct 27, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA-1057 | ID | |
| Hearing Instrument Specialist | 237700000X | 1120 | WI | Primary |
Addresses
Primary practice location
3180 N 124TH St
Wauwatosa, WI 53222-4062
Mailing address
5200 Washington Ave
Suite 102
Racine, WI 53406-4238
Phone (414) 442-6000
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HA-1057 | ID | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Services Company USA, LLC | Hearing Instrument Specialist | Past | Accepting new patients |
| Southeast Wisconsin Hearing, LLC | Past | Accepting new patients | |
| Accuquest Hearing Center, LLC | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Beltone of Racine & Kenosha
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- NPI 1063716165
-
- Hearing and Speech Clinic/Center
- Midland, MI
- NPI 1851425698
Hearing Instrument Specialist
-
dba Hearinglife
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1033585302
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1992929756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 WASHINGTON AVE",
"address_2": "SUITE 102",
"city": "RACINE",
"state": "WI",
"postal_code": "534064238",
"telephone_number": "414-442-6000",
"fax_number": "414-442-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 N 124TH ST",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532224062",
"telephone_number": "414-442-6000",
"fax_number": "414-442-8378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "MARI",
"middle_name": "AGNES",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "ID",
"license": "HA-1057",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WI",
"license": "1120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.