KELLY MARIE BAKER (NPI# 1841494085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841494085 |
Entity Type | Individual |
Full Name | KELLY MARIE BAKER |
Practice Address |
121 S Madison Pittsfield IL 62363 |
Mailing Address |
1301 N 2353rd Ln Mendon IL 62351 |
Practice Telephone | 2172854436 |
Practice Fax Number | 2172852804 |
Mailing Telephone | 2174406200 |
Enumeration Date | 2007-06-12 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
1740729508 | Kelly Marie Baker | Registered Nurse | 220 Sandy Brook Rd, North Scituate, RI 02857-2840 | 2017-02-13 |
1922496538 | Kelly Michelle Baker | Social Worker | 2319 Good Hope Ct Se Apt 203, Washington, DC 20020-3683 | 2015-01-05 |
1104258706 | Kelly Baker | Doula | 410 Wells Ln, Versailles, KY 40383-1545 | 2013-08-06 |
1316287352 | Kelly Lind Baker | Doula | 9622 Stockport Cir, Summerville, SC 29485-9006 | 2013-02-28 |
1346585163 | Kelly Elizabeth Baker | Acupuncturist | 11300 Roosevelt Way Ne Ste 100, Seattle, WA 98125-6243 | 2012-12-05 |
1871841254 | Kelly Gossard Baker | Counselor | 6838 E Genesee St Ste E, Fayetteville, NY 13066-1029 | 2012-08-16 |
1124253596 | Kelly Ann Baker | Physical Therapist | 5100 Bradenton Ave Ste D, Dublin, OH 43017 | 2009-05-28 |
1073775185 | Kelly Baker | Skilled Nursing Facility | 853 Lexington Rd, Harrodsburg, KY 40330-1260 | 2008-06-30 |
1619013398 | Kelly W Baker | Chiropractor | 852 Manzanita Ct Ste 150, Chico, CA 95926-2399 | 2007-01-29 |
Street Address |
121 S MADISON |
City | PITTSFIELD |
State | IL |
Zip Code | 62363 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871831388 | Advance Physical Therapy Illini Community Hospital LLC | Physical Therapist | 128 W Washington Street, Pittsfield, IL 62363 | 2013-01-18 |
1003168154 | Rebecca L. Williams | Social Worker | 120 North Williams Industrial Drive, Pittsfield, IL 62363 | 2012-10-12 |
1851641534 | Debra Ann Helton | Speech-Language Pathologist | 640 West Washington, Pittsfield, IL 62363 | 2012-09-11 |
1366791451 | Blessing Care Corp. | Hospitalist | 640 West Washington Street, Pittsfield, IL 62363 | 2012-09-05 |
1235421900 | Mental Health Centers of Western Illinios | Community/Behavioral Health | 120 N. Williams Industrial Drive, Pittfield, IL 62363 | 2011-05-12 |
1003088188 | Brandi N. Ruzich | Physical Therapist | 320 N. Madison, Pittsfield, IL 62363 | 2008-03-28 |
1780885830 | Quincy Medical Group Pleasant Hill Rural Health | Durable Medical Equipment & Medical Supplies | 405 East State, Pleasant Hill, IL 62363 | 2007-05-29 |
1962622795 | Kelli R Hull | Licensed Practical Nurse | 121 South Madison Street, Mental Health Centers of Western Illinois, Pittsfield, IL 62363 | 2007-04-26 |
1407939085 | Wal-mart Stores, Inc | Technician/Technologist | Us 36 & 151 Shetland Dr., Pittsfield, IL 62363 | 2006-10-24 |
1295761724 | Melissa Lenderman | Physician Assistant | 320 N Madison St, Pittsfield, IL 62363 | 2006-06-25 |
Find all providers in zip 62363 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417578600 | Laura Lynn Szczepaniak | Counselor | 2 South St Fl 3, Pittsfield, MA 01201-6196 | 2020-04-29 |
1255974663 | Alc Corp | Counselor | 57 Maplewood Ave, Pittsfield, MA 01201-4753 | 2019-10-18 |
1740789767 | Dennis R Bates | Counselor | 1115 North St, Pittsfield, MA 01201-1521 | 2018-02-05 |
1679772016 | Deborah Shaver-bates | Counselor | 202 Bradford St, Keenan House, Pittsfield, MA 01201-4565 | 2007-07-16 |
1720606387 | Autumn Marie Wood | Counselor | 777 North St, Pittsfield, MA 01201-4147 | 2020-07-10 |
1962958371 | Whitney Baeckmann | Counselor | 42 Summer St, Pittsfield, MA 01201-4624 | 2016-08-27 |
1487042990 | Karen Fisher | Counselor | 42 Summer St, Pittsfield, MA 01201-4624 | 2015-01-06 |
1205170495 | Lawrence Lerner | Counselor | 359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261 | 2012-11-12 |
1326391335 | Lisa Michelle Pyenson | Counselor | 42 Summer St, Pittsfield, MA 01201-4624 | 2012-10-16 |
1871845339 | Odessa Bates | Counselor | 42 Summer St, Suite 201, Pittsfield, MA 01201-4624 | 2012-10-09 |
Find all providers in PITTSFIELD |
City | PITTSFIELD |
Zip Code | 62363 |
Please comment or provide details below to improve the information on KELLY MARIE 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.