DR. GERALD KENNETH BAKER (NPI# 1548452832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548452832 |
| Entity Type | Individual |
| Full Name | DR. GERALD KENNETH BAKER |
| Credential | PHD |
| Practice Address |
702 Kings Hwy Shreveport LA 71104-4332 |
| Practice Telephone | 3182213677 |
| Mailing Telephone | 3182213677 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
291 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316151590 | Gerald G Baker | Podiatrist | 1260 15th St, Suite 1014, Santa Monica, CA 90404-1135 | 2007-05-09 |
| 1053532705 | Gerald J Baker | Chiropractor | 1060 Chinoe Rd, Suite 124, Lexington, KY 40502-6589 | 2007-05-01 |
| 1316932783 | Gerald L Baker | Orthopaedic Surgery | 508 Stocktrail Ave, Ste A, Gillette, WY 82716-3582 | 2005-09-13 |
| 1528051141 | Gerald G Baker | Surgery | 1212 Pleasant St, Ste 211, Des Moines, IA 50309 | 2005-08-30 |
| Street Address |
702 KINGS HWY |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-4332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518267889 | Jeanne Street, Phd, Appc | Psychologist | 610 Herndon Ave., Shreveport, LA 71101 | 2010-11-02 |
| 1508055187 | Wendi Leigh Johnson Laborde | Psychologist | 2620 Centenary Blvd Ste 120, Shreveport, LA 71104-3349 | 2007-10-18 |
| 1033273107 | Jeanne Street | Psychologist | 610 Herndon Ave, Shreveport, LA 71101 | 2006-12-21 |
| 1700983251 | Milton Rhea | Psychologist | 510 E. Stoner Ave, Shreveport, LA 71101 | 2006-09-19 |
| 1730168139 | Alan Lee Rogers | Psychologist | 257 Atkins Ave, Shreveport, LA 71104-4537 | 2006-01-13 |
| 1316577141 | Jennifer L Russell, Psychologist, LLC | Psychologist | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2020-01-21 |
| 1215309620 | Sarah Watts Drummond | Psychologist | 707 Southfield Rd, Shreveport, LA 71106-2219 | 2015-10-24 |
| 1558789701 | Mark Garcia | Psychologist | 2620 Centenary Blvd, Bldg. #3, Suite 207, Shreveport, LA 71104-3356 | 2014-04-04 |
| 1972947034 | Steven D Abney | Psychologist | 1811 E Bert Kouns Industrial Loop, Suite 300, Shreveport, LA 71105-5740 | 2013-04-19 |
| 1407198328 | Shannon A Bruno | Psychologist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2013-03-18 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
Please comment or provide details below to improve the information on DR. GERALD KENNETH BAKER.
| 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.