JENNA KAY BAKER (NPI# 1679007066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679007066 |
| Entity Type | Individual |
| Full Name | JENNA KAY BAKER |
| Credential | PA-C |
| Practice Address |
1370 W D St North Wilkesboro NC 28659 |
| Mailing Address |
1236 4th Creek Landing Dr Statesville NC 28625-8244 |
| Practice Telephone | 3367162255 |
| Mailing Telephone | 8105690804 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2019-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-07337 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-07337 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2127 Elizabeth Ave, Winston Salem, NC 271033606 | 8105690804 | |
| 557 Brookdale Dr, Statesville, NC 286774107 | 8105690804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952933145 | Jenna Baker | Behavior Technician | 2925 Dean Pkwy Ste 300, Minneapolis, MN 55416-7700 | 2020-02-06 |
| 1598304693 | Jenna Elizabeth Baker | Physical Therapist | 4495 Hale Pkwy Ste 305, Denver, CO 80220-6204 | 2020-01-06 |
| 1053975011 | Jenna Ann Baker | Early Intervention Provider Agency | 928 Bayside, Breezy Point, NY 11697-1136 | 2019-04-25 |
| 1568985455 | Jenna Baker | Registered Nurse | 8420 University Exec Park Dr Ste 850, Charlotte, NC 28262-1308 | 2017-07-21 |
| Street Address |
1370 W D ST |
| City | NORTH WILKESBORO |
| State | NC |
| Zip Code | 28659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778639 | John C Canon | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2005-05-23 |
| 1609428887 | Erica Mathis Shore | Nurse Practitioner | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2019-07-09 |
| 1275028011 | Kaisey Hampton Medley | Physician Assistant | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2018-06-25 |
| 1548792153 | Blake Briggs | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2017-04-02 |
| 1881053064 | Jeffrey Forsyth | Physician Assistant | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2016-02-17 |
| 1093190795 | Russell Nathan Worthen | Nurse Practitioner | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2015-07-23 |
| 1457731028 | Mitchell Adams | Physician Assistant | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2015-06-09 |
| 1629455258 | Willard Jeffrey Shew | Nurse Anesthetist, Certified Registered | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2015-05-04 |
| 1194116756 | Joshua Isaac Troyer | Nurse Anesthetist, Certified Registered | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2015-02-17 |
| 1831599208 | Heather Goodwyn | Nurse Anesthetist, Certified Registered | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2014-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579689 | Lisa C Carr | Social Worker | 1400 Willow Ln # C61-2, North Wilkesboro, NC 28659 | 2019-07-03 |
| 1780141507 | Brenda Barber | Counselor | 200 Northview Plaza, North Wilkesboro, NC 28659 | 2019-02-28 |
| 1639696941 | Lifespan Incorporated | Community/Behavioral Health | 2070 River Road, North Wilkesboro, NC 28659 | 2017-08-28 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1033568258 | Rgm Al Holdings, LLC | Assisted Living Facility | 240 Independence Ave, North Wilkesboro, NC 28659 | 2016-06-08 |
| 1376997999 | Hayden Church | Driver | 29 Boone Trail, North Wilkesboro, NC 28659 | 2016-04-20 |
| 1033563192 | Nathan Grant Davis | Emergency Medicine | Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 | 2016-04-14 |
| 1720425408 | Lindsay Brooke Spears | Dentist | 1915 West Park Drive Ste 104, Wilkes Public Health Dental West, North Wilkesboro, NC 28659 | 2013-06-04 |
| 1881983419 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 902 West D St, Ste B, North Wilkesboro, NC 28659 | 2011-04-05 |
| 1275838096 | Barium Springs Home for Children | Community Based Residential Treatment Facility, Mental Illness | 517 Boston Ave, North Wilkesboro, NC 28659 | 2011-01-26 |
| Find all providers in zip 28659 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699751933 | James E. Westbrook | Physician Assistant | 1370 West D Street, Emergency Dept., North Wilkesboro, NC 28659-3506 | 2005-12-19 |
| 1467451203 | Steven Eric Anderson | Physician Assistant | 1917 W Park Dr, North Wilkesboro, NC 28659-3585 | 2005-07-14 |
| 1275028011 | Kaisey Hampton Medley | Physician Assistant | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2018-06-25 |
| 1487006847 | Ginna Edwards | Physician Assistant | 1925 W Park Dr, North Wilkesboro, NC 28659-3564 | 2016-07-11 |
| 1881053064 | Jeffrey Forsyth | Physician Assistant | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2016-02-17 |
| 1114309259 | Taylor Norman Sheets | Physician Assistant | 1919 W Park Dr, North Wilkesboro, NC 28659-3564 | 2015-06-25 |
| 1457731028 | Mitchell Adams | Physician Assistant | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2015-06-09 |
| 1194167338 | Orthocarolina, Pa | Physician Assistant | 1914 W Park Dr, North Wilkesboro, NC 28659-3563 | 2013-07-29 |
| 1780925362 | Jacqueline C Tricarico | Physician Assistant | 1370 W D St, Department of Emergency Medicine, North Wilkesboro, NC 28659-3506 | 2013-03-07 |
| 1265776306 | Alexa Grace Gregory | Physician Assistant | 1917 W Park Dr, North Wilkesboro, NC 28659-3585 | 2012-11-15 |
| Find all providers in NORTH WILKESBORO | ||||
| City | NORTH WILKESBORO |
| Zip Code | 28659 |
Please comment or provide details below to improve the information on JENNA KAY 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.