JORDAN BAKER (NPI# 1013262393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013262393 |
| Entity Type | Individual |
| Full Name | JORDAN BAKER |
| Credential | PA |
| Practice Address |
14214 Ballantyne Lake Rd Ste 100 Charlotte NC 28277-3372 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7046672650 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-03625 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10210 Couloak Dr, Ste E, Charlotte, NC 282167679 | 7048012000 | |
| 5717 Albemarle Rd, Charlotte, NC 282121634 | 7045632150 | |
| 5727 Prosperity Crossing Dr, Ste 1100, Charlotte, NC 282692206 | 7048639930 | |
| 7810 Providence Rd, Ste 102, Charlotte, NC 282262954 | 7045436636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699169433 | Jordan Nicole Baker | Pharmacist | 2203 Sw Court Ave, Pendleton, OR 97801-1896 | 2015-03-18 |
| 1194953976 | Jordan Neff Baker | Surgery | 401 W. Greenlawn Ave, Lansing, MI 48910 | 2009-06-30 |
| 1316551880 | Jordan Caila Baker | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2020-09-02 |
| 1083246698 | Jordan Baker | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-02-11 |
| 1295378289 | Jordan Curtis Baker | Social Worker | 4701 Fairway Ave Ste B, North Little Rock, AR 72116-8069 | 2019-10-22 |
| 1356803753 | Jordan Baker | Student in an Organized Health Care Education/Training Program | 1800 N California St, Stockton, CA 95204-6019 | 2019-04-03 |
| 1871085613 | Jordan Baker | Dentist | 1299 Russell Pkwy, Warner Robins, GA 31088-5582 | 2018-06-06 |
| 1396233383 | Jordan Scott Baker | Chiropractor | 410 N Main St, Ashland, OR 97520-1750 | 2018-04-25 |
| 1194100388 | Jordan Baker | Occupational Therapist | 700 Missouri Ave, Jeffersonville, IN 47130-3082 | 2015-07-29 |
| 1891105524 | Jordan Coleman Baker | Student in an Organized Health Care Education/Training Program | 840 N 87th St, Milwaukee, WI 53226-3586 | 2014-05-02 |
| Street Address |
14214 BALLANTYNE LAKE RD STE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-3372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503332 | Joseph B Mcshea | Family Medicine | 14214 Ballantyne Lake Rd, Suite 100, Charlotte, NC 28277-3372 | 2005-07-28 |
| 1629626510 | Elena Higley | Nurse Practitioner | 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372 | 2019-09-03 |
| 1376023937 | Rachel Fair | Physician Assistant | 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372 | 2018-08-14 |
| 1568953099 | Courtney Fussell | Nurse Practitioner | 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372 | 2018-05-21 |
| 1295254076 | Quinn Kuntz | Physician Assistant | 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372 | 2017-09-13 |
| 1386013480 | Stephanie Lisenby | Nurse Practitioner | 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372 | 2015-09-18 |
| 1851776850 | Alissa Meads | Nurse Practitioner | 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 28277-3372 | 2015-07-21 |
| 1417354861 | Chelsea Sams | Physician Assistant | 14214 Ballantyne Lake Rd, Suite 100, Charlotte, NC 28277-3372 | 2014-12-01 |
| 1124442769 | Corinne Sirois | Dietitian, Registered | 14214 Ballantyne Lake Rd, Ste 200, Charlotte, NC 28277-3372 | 2014-02-18 |
| 1629410683 | Jaclyn Mccord | Pediatrics | 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 28277-3372 | 2013-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| 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 |
|---|---|---|---|---|
| 1396351607 | Michael James Blackwell | Physician Assistant | 501 Billingsley Rd Ste B, Charlotte, NC 28211-1009 | 2020-09-22 |
| 1598371320 | Jonathan Byron Lively | Physician Assistant | 1000 Blythe Blvd Fl 3, Charlotte, NC 28203-5812 | 2020-09-17 |
| 1902415532 | Jacqueline Ellen Leyrer | Physician Assistant | 2630 E 7th St Ste 200, Charlotte, NC 28204-4319 | 2020-07-29 |
| 1750908380 | Whitney Debroy | Physician Assistant | 125 W Tremont Ave Unit 726, Charlotte, NC 28203-5551 | 2020-06-30 |
| 1972129302 | Ashley Nicole Short | Physician Assistant | 1022 E Worthington Ave, Charlotte, NC 28203-5760 | 2020-06-22 |
| 1558985176 | Courtney Claugus | Physician Assistant | 300 E Park Ave Unit 7, Charlotte, NC 28203-4774 | 2020-05-29 |
| 1467071738 | Patrick James Quinn | Physician Assistant | 2036 Millerton Ave Apt 4311, Charlotte, NC 28208-5290 | 2020-04-15 |
| 1225660301 | Sunil Ranchhod Ghodasara | Physician Assistant | 1001 Blythe Blvd Ste 403, Charlotte, NC 28203-5863 | 2020-02-06 |
| 1225668601 | Emily Rebecca Markey | Physician Assistant | 355 W Mlk Blvd Apt 1112, Charlotte, NC 28202-0043 | 2020-01-24 |
| 1639719586 | Abosede Elizabeth Adamson | Physician Assistant | 3101 Amesbury Hill Dr, Charlotte, NC 28269-8951 | 2020-01-08 |
| Find all providers in CHARLOTTE | ||||
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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.