Active NPI
Tanya Christine Baker, LMSW, LPN
- Social Worker
- Phelps, NY
National Provider Identifier
1992930184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 103066-1
- Practice address
- 615 State Route 96
Phelps, NY 14532-9532 - Phone
- (315) 548-8079
- Fax
- (315) 548-8079
- NPI assigned
- May 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 218485-1 | NY | |
| Social Worker | 104100000X | 103066-1 | NY | Primary |
Addresses
Primary practice location
615 State Route 96
Phelps, NY 14532-9532
Mailing address
615 State Route 96
Phelps, NY 14532-9532
Phone (315) 548-8079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02814097 | Medicaid | NY |
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 |
|---|---|---|---|
| 103066-1 | NY | MD | Social Worker |
| 218485-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521504000000",
"number": "1992930184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 STATE ROUTE 96",
"city": "PHELPS",
"state": "NY",
"postal_code": "145329532",
"telephone_number": "315-548-8079",
"fax_number": "315-548-8079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 STATE ROUTE 96",
"city": "PHELPS",
"state": "NY",
"postal_code": "145329532",
"telephone_number": "315-548-8079",
"fax_number": "315-548-8079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "TANYA",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "LMSW, LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-18",
"last_updated": "2018-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "218485-1",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "103066-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02814097",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phelps, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.