KELLIE ELIZABETH BAKER (NPI# 1740836139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740836139 |
Entity Type | Individual |
Full Name | KELLIE ELIZABETH BAKER |
Credential | RN |
Practice Address |
1475 E Liberty St York SC 29745-6440 |
Mailing Address |
18 Spruce St York SC 29745-1734 |
Practice Telephone | 8036841905 |
Practice Fax Number | 8036841907 |
Mailing Telephone | 8036841905 |
Mailing Fax Number | 8036841907 |
Enumeration Date | 2019-08-13 |
Last Update Date | 2019-08-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WS0200X |
Registered Nurse Specialization: School |
109368 | SC | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 1003845777 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871148106 | Kellie Baker | Physical Therapist | 200 N Poplar St, Aberdeen, NC 28315-2812 | 2019-08-05 |
1518315571 | Kellie Anna Baker | Physical Therapist | 1108 E 1st St, Port Angeles, WA 98362 | 2016-06-01 |
1770740904 | Kellie Baker | Counselor | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2008-05-16 |
1871620799 | Kellie Lin Baker | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8828 | 2007-02-27 |
Street Address |
1475 E LIBERTY ST |
City | YORK |
State | SC |
Zip Code | 29745-6440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982218244 | Amanda Sue Hardy | Massage Therapist | Amanda Hardy, 423 Kelly Rd, York, SC 29745 | 2020-09-03 |
1891290573 | Deborah Len Carnes | Pharmacist | 1007 Creekside Medical Dr, York, SC 29745 | 2018-03-26 |
1316313810 | Fc Midlands York, LLC | Assisted Living Facility | 40 Ross Cannon Street, York, SC 29745 | 2015-08-19 |
1922300508 | Walgreens Pharmacy | Pharmacist | 887 East Liberty Street, York, SC 29745 | 2010-12-02 |
1649599747 | Sherita Featherstone Davis | Counselor | 234 Kings Mountain Road, York, SC 29745 | 2010-05-28 |
1306099312 | Pmc Physician Network, L.L.C. | Family Medicine | 1795 Devinney Rd, York, SC 29745 | 2008-11-04 |
1215077433 | Alfred Casburn Johnson Jr. | Dentist | 1306 Old Fairhope Ct, York, SC 29745 | 2007-02-07 |
1104994938 | Ph & F Inc | Pharmacy | 1007 Creekside Medical Drive, York, SC 29745 | 2006-12-01 |
1407935315 | Nora Sue Roy | Social Worker | 212 East Jefferson St, York, SC 29745 | 2006-11-02 |
1508963927 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 1440 Alexander Love Highway, York, SC 29745 | 2006-09-20 |
Find all providers in zip 29745 |
Taxonomy Code | 163WS0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871148528 | Kelly Jo Childers | Registered Nurse | 1010 Devinney Rd, York, SC 29745-2127 | 2019-08-08 |
1770917148 | Dale Ferguson Smarr | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
1568907079 | Callie Clark Billings | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2016-12-20 |
1013341239 | Harriett Shuler Kinsey | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-23 |
1023442241 | Elizabeth Broadbent Matthews | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-23 |
1366876740 | Cheri S. Flanagan | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
1194159566 | Melanie Jones Myers | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
1558795922 | Helene H Neely | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
1538593900 | Crystal S Nichols | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
1902230386 | Jessica Harshaw Faulkner | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
Find all providers in YORK |
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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.