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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R1813047 | MN | Physician Assistants & Advanced Practice Nursing Providers |
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 |
Street Address |
15700 37TH AVE N STE 150 |
City | PLYMOUTH |
State | MN |
Zip Code | 55446-3675 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 55446 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in PLYMOUTH |
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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.