DR. SHELLETTA BAKER (NPI# 1801376629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801376629 |
| Entity Type | Individual |
| Full Name | DR. SHELLETTA BAKER |
| Practice Address |
303 N Laura St Jacksonville FL 32202 |
| Mailing Address |
Po Box 40201 Jacksonville FL 32203-0201 |
| Practice Telephone | 9043219360 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332U00000X | Home Delivered Meals | Suppliers | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| N | 347E00000X | Transportation Broker | Transportation Services | ||
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 251300000X | Local Education Agency (LEA) | Agencies | ||
| N | 374J00000X | Doula | Nursing Service Related Providers | ||
| N | 374K00000X | Religious Nonmedical Practitioner | Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10599 Deerwood Park Blvd, Jacksonville, FL 322560507 | 9043219360 | |
| 12125 San Jose Blvd, Jacksonville, FL 322232636 | 9043219360 | |
| 1755 Edgewood Ave W, Jacksonville, FL 322083224 | 9043219360 | |
| 1826 Dunn Ave, Jacksonville, FL 322184712 | 9043219360 | |
| 2875 Park St, Jacksonville, FL 322058046 | 9043219360 | |
| 3435 University Blvd N, Jacksonville, FL 322772464 | 9043219360 |
| Street Address |
303 N LAURA ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992264337 | Mymathmentors, LLC. | Day Training, Developmentally Disabled Services | 303 N Laura St, Jacksonville, FL 32202-3505 | 2019-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| 1083132591 | Shelia Yvonne Newby | Home Health Aide | 220 Riverside Ave, Unit 404, Jacksonville, FL 32202 | 2017-09-05 |
| 1164728010 | Dina Maria Fedor | Nurse Practitioner | 500 E Adams St, Jacksonville, FL 32202 | 2011-02-09 |
| 1689695611 | Maryam M Pasha | Emergency Medicine | 221 N. Hogan St, 401, Jacksonville, FL 32202 | 2006-07-23 |
| 1629174917 | Jose A Santana | Internal Medicine | 3625 University Blvd S, Emergency Department, Jacksonville, FL 32202 | 2006-09-15 |
| 1518197912 | Pleasant Living Facility, Inc. | Assisted Living Facility | 1543 Hill St, Jacksonville, FL 32202-1405 | 2009-07-20 |
| 1083803647 | Pleasant Living Facility Inc | Assisted Living Facility | 1543 Hill Street, Jax, FL 32202-1405 | 2007-10-19 |
| 1982003745 | Sheila Freeman | Social Worker | 300 E State St, Jacksonville, FL 32202-1601 | 2014-08-18 |
| 1861999625 | Bianca Holcombe | Counselor | 1010 E Adams St Ste 1111013, Jacksonville, FL 32202-1902 | 2018-04-09 |
| 1760904064 | Kenya Malyka Davis | Counselor | 1010 E Adams St Ste 111, Jacksonville, FL 32202-1902 | 2017-07-10 |
| Find all providers in zip 32202 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789662 | Guidewell, Inc. | Early Intervention Provider Agency | 4855 Town Center Pkwy, Jacksonville, FL 32246-8437 | 2018-11-14 |
| 1639687916 | Rachael Renee Dean | Early Intervention Provider Agency | 1943 Baldwin Rd, Jacksonville, IL 62650-6041 | 2018-01-20 |
| 1902257785 | Northeast Florida Area Agency On Aging | Early Intervention Provider Agency | 10688 Old Saint Augustine Rd, Jacksonville, FL 32257-1004 | 2016-06-23 |
| 1619360344 | Kelly Wilkinson | Early Intervention Provider Agency | 8443 Baymeadows Rd Ste 1, Jacksonville, FL 32256-7440 | 2015-03-04 |
| 1528463072 | Episcopal Children's Services | Early Intervention Provider Agency | 8443 Baymeadows Rd, Suite 1, Jacksonville, FL 32256-7440 | 2014-10-27 |
| 1457649014 | Tina Marie Hickey | Early Intervention Provider Agency | 647 S Prairie St, Jacksonville, IL 62650-2870 | 2011-07-18 |
| 1235377888 | Aspirations | Early Intervention Provider Agency | 2444 Commerce Rd., Suite 232, Jacksonville, NC 28546 | 2009-02-04 |
| 1134321664 | Jharman Lightner | Early Intervention Provider Agency | 531 W Union St, Jacksonville, FL 32202-4047 | 2007-06-05 |
| 1447249784 | Small Talk Inc | Early Intervention Provider Agency | 8777 San Jose Blvd Ste 701, Jacksonville, FL 32217-4292 | 2005-10-19 |
| 1144717497 | Surrendering Minds LLC | Early Intervention Provider Agency | 11627 Hickory Oak Dr, Jacksonville, FL 32218-9078 | 2018-04-21 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32202 |
Please comment or provide details below to improve the information on DR. SHELLETTA 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.