STACI A BAKER


Address: 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675
Phone: 6519685201

STACI A BAKER (NPI# 1396158309) 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) 1396158309
Entity Type Individual
Full Name STACI A BAKER
Credential NP-C
Practice Address 15700 37th Ave N Ste 150
Plymouth
MN 55446-3675
Mailing Address 710 Commerce Dr Ste 200
Woodbury
MN 55125-4925
Practice Telephone 6519685201
Practice Fax Number 6519685904
Mailing Telephone (651) 968-5201
Mailing Fax Number 6519685904
Enumeration Date 2014-06-06
Last Update Date 2017-08-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R1813047 MN Physician Assistants & Advanced Practice Nursing Providers

Other Providers STACI BAKER

NPI Name Taxonomy Address Enumeration
1588186027 Staci Baker Pharmacist 2500 Overlook Ter, Madison, WI 53705-2254 2017-07-15
1417078403 Staci Marie Baker Case Manager/Care Coordinator 109 S Harrill Ave, Wagoner, OK 74467-5317 2007-04-03

Office Location

Street Address 15700 37TH AVE N STE 150
City PLYMOUTH
State MN
Zip Code 55446-3675

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063414845 David W Spight Physical Medicine & Rehabilitation 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 2005-08-11
1992330401 Chelsie Rachelle Richards Physician Assistant 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 2020-03-04
1548821622 Ryan Heisler Nurse Practitioner 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 2019-06-27
1932626025 Cynthia C Konrath Physician Assistant 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 2017-08-29
1295288660 Ashley Renee Aydt Physician Assistant 15700 37th Ave N Ste 150, Plymouth, MN 55446 2016-08-02
1447600283 Brendan Murphy Physician Assistant 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 2016-06-13
1053779215 Summit Orthopedics, Ltd Physician Assistant 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 2016-02-03
1386012466 Britta K Rosenow Nurse Practitioner 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 2015-09-08
1548650278 Johnathan R Furzland Nurse Practitioner 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 2015-02-03
1225437965 Allison K Buth Nurse Practitioner 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 2014-08-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114552379 Molly M Mahoney Pharmacist 4110 Juneau Lane N, Plymouth, MN 55446 2020-03-09
1073064804 Owen Payne Kusick Student in an Organized Health Care Education/Training Program 16717 49th Pl N, Plymouth, MN 55446 2016-10-17
1043696214 Kari Shoemaker Speech-Language Pathologist 5855 Cheshire Parkway, Plymouth, MN 55446 2015-08-10
1902206899 Kathleen E Steensma Nurse Practitioner 15700 37th Ave N. #110, Plymouth, MN 55446 2014-08-27
1851715163 Group Health Plan Inc Clinic/Center 5000 Fernbrook Ln N, Plymouth, MN 55446 2014-02-06
1588903009 Laura Davidson Physician Assistant 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 2013-02-04
1366680688 Walgreen Co Durable Medical Equipment & Medical Supplies 6025 Shenandoah Ln N, Plymouth, MN 55446 2009-01-23
1205046646 Merida A Miller Obstetrics & Gynecology 4155 Cty Rd 101 N, Plymouth, MN 55446 2007-05-23
1376684746 West Metro Ophthalmology, Pa Ophthalmology 15655 37th Ave N Ste 200, Plymouth, MN 55446 2007-02-09
1952401390 Grand St Paul Cvs LLC Pharmacy 4140 Rd 101 N, Plymouth, MN 55446 2006-09-25
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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
1477180826 Stephanie Jordan Nurse Practitioner 22 Cranberry Rd, Plymouth, MA 02360-2857 2020-03-25
1710543863 Kristen Marie Kubik Nurse Practitioner 13970 Oakland Ct, Plymouth, MI 48170-5292 2019-05-14
1679931505 Hillary Costa Nurse Practitioner 45 Resnik Rd Ste 302, Plymouth, MA 02360-4883 2016-02-06
1811374747 Jill Marie Geer Nurse Practitioner 510 W Adams St, Suite 150, Plymouth, IN 46563-1765 2015-04-29
1740677921 Inner Banks Family Medicine Nurse Practitioner 543 Us Highway 64 W, Plymouth, NC 27962-2144 2015-04-24
1952706210 Elizabeth Nelson-frazier Nurse Practitioner 50 Aldren Road, Plymouth, MA 02061-2711 2014-10-29
1902206899 Kathleen E Steensma Nurse Practitioner 15700 37th Ave N. #110, Plymouth, MN 55446 2014-08-27
1730595943 Nicole Lee Nurse Practitioner 10 Bay Cliff Cir, Plymouth, MA 02360-1458 2014-07-08
1700122579 Renae Charlene Atkins Nurse Practitioner 2855 Miller Dr Ste 119, Plymouth, IN 46563-8091 2012-12-21
1396097069 Kristin Lynn Spencer Nurse Practitioner 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 2012-10-05
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Competitor

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City PLYMOUTH
Zip Code 55446

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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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