BROOKE ANN BAKER (NPI# 1174165807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174165807 |
Entity Type | Individual |
Full Name | BROOKE ANN BAKER |
Credential | FNP |
Practice Address |
25 Park St Canton NY 13617-1265 |
Mailing Address |
24 Crestwood Ln Colton NY 13625-3304 |
Practice Telephone | 3153799158 |
Mailing Telephone | 3152122304 |
Enumeration Date | 2019-10-15 |
Last Update Date | 2019-10-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
345169 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356956809 | Brooke Baker | Physical Therapist | 34 Lanes Mill Rd Unit 2a2b, Brick, NJ 08724-7056 | 2020-09-11 |
1366450587 | Brooke Marie Baker | Dentist | 1790 32nd Ave S, Fargo, ND 58103-5942 | 2006-08-03 |
1497384465 | Brooke Elizabeth Baker | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-04-02 |
1437717022 | Brooke Baker | Social Worker | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2019-05-30 |
1992274021 | Brooke Ashley Baker | Physical Therapist | 1105 6th St, Traverse City, MI 49684-2345 | 2018-11-19 |
1699188961 | Brooke D Baker | Physical Therapy Assistant | 4035 Sw 10th Ave, Topeka, KS 66604-1916 | 2014-06-04 |
1720499411 | Brooke Baker | Licensed Practical Nurse | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2014-05-15 |
1376963330 | Brooke Baker | Registered Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2014-04-17 |
1770825721 | Brooke Renee Baker | Counselor | 1629 K St Nw Ste 300, Washington, DC 20006-1631 | 2013-03-17 |
1053548925 | Brooke Nicole Baker | Developmental Therapist | 2708 Ne 14th St, Suite 5, Pompano Beach, FL 33062-3565 | 2009-06-17 |
Street Address |
25 PARK ST |
City | CANTON |
State | NY |
Zip Code | 13617-1265 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558372086 | Gregory Healey | Emergency Medicine | 25 Park St, Canton, NY 13617-1265 | 2006-08-10 |
1316341902 | Amanda L Persons | Physician Assistant | 25 Park St, Canton, NY 13617 | 2014-10-10 |
1235545963 | Kimberly M Mckenney | Family Medicine | 25 Park St, Canton, NY 13617-1265 | 2014-07-02 |
1659575694 | Joanne B Scott | Physician Assistant | 25 Park St, Canton, NY 13617-1265 | 2007-06-13 |
1457568792 | Healey Medical Practice, Pllc | Family Medicine | 25 Park St, Canton, NY 13617-1265 | 2007-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
Find all providers in zip 13617 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548875081 | Mohamed Jamal | Nurse Practitioner | 48485 River Way Dr, Canton, MI 48187-5622 | 2020-09-11 |
1851906713 | Anishaben Sheth | Nurse Practitioner | 46882 Torrey Hill Ct, Canton, MI 48187-4885 | 2020-09-08 |
1184240251 | Timothy John Mcginnis | Nurse Practitioner | 755 Stonehenge Dr, Canton, MI 48188-1257 | 2020-06-24 |
1952927477 | Alexandra Arzenshek | Nurse Practitioner | 1042 Creek Side Dr, Canton, GA 30115-8541 | 2020-06-20 |
1326663717 | Meghan Markham | Nurse Practitioner | 111 Mountain Brook Dr Ste 100, Canton, GA 30115-9045 | 2020-06-11 |
1194348821 | Janet L Jarrette | Nurse Practitioner | 100 Generals Pl, Canton, GA 30114-5881 | 2020-05-28 |
1326685124 | Cicely Lashay Scott | Nurse Practitioner | 208 Winterbury Dr, Canton, GA 30114-1235 | 2019-11-30 |
1609410976 | Ashley N Decraene | Nurse Practitioner | 50153 Grant St, Canton, MI 48188-3480 | 2019-10-30 |
1194369587 | Lori Pulliam | Nurse Practitioner | 470 Northside Cherokee Blvd Ste 250, Canton, GA 30115-8015 | 2019-10-30 |
1437719192 | Ebone' Sade' Singleton | Nurse Practitioner | 124 Links Dr Apt 204k, Canton, MS 39046-5388 | 2019-06-15 |
Find all providers in CANTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.