BROOKE ANN BAKER


Address: 25 Park St, Canton, NY 13617-1265
Phone: 3153799158

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
345169 NY Physician Assistants & Advanced Practice Nursing Providers

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1356956809 Brooke Baker Physical Therapist 34 Lanes Mill Rd Unit 2a2b, Brick, NJ 08724-7056 2020-09-11
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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

Office Location

Street Address 25 PARK ST
City CANTON
State NY
Zip Code 13617-1265

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City CANTON
Zip Code 13617

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Dataset Information

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.

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