TRACEY C BAKER (NPI# 1457962748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457962748 |
Entity Type | Individual |
Full Name | TRACEY C BAKER |
Credential | MA, LADC |
Practice Address |
2518 1st Ave S Minneapolis MN 55404-4317 |
Practice Telephone | 6513592074 |
Mailing Telephone | 6513592074 |
Enumeration Date | 2020-08-11 |
Last Update Date | 2020-08-11 |
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) |
305547 | MN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518195312 | Tracey A Baker | Occupational Therapy Assistant | 2022 S 67th St, Philadelphia, PA 19142-1625 | 2009-06-30 |
1508071515 | Tracey L Baker | Nurse Practitioner | 419 College Dr, Barnesville, GA 30204-1746 | 2007-05-12 |
1124585369 | Tracey Lynn Baker | Registered Nurse | 2660 Dayton Xenia Rd, Beavercreek, OH 45434-6416 | 2019-02-25 |
1538689591 | Tracey Baker | Licensed Practical Nurse | 8033 E 10 Mile Rd, Center Line, MI 48015-1427 | 2017-06-21 |
1205212198 | Tracey Baker | Nurse Practitioner | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2015-08-03 |
1528235173 | Tracey S Baker | Registered Nurse | 400 Hospital Rd, Starkville, MS 39759-2163 | 2008-05-13 |
1992855126 | Tracey R Baker | Physical Therapist | 2802 Garth Rd, Ste 109, Baytown, TX 77521-3900 | 2007-01-11 |
Street Address |
2518 1ST AVE S |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55404-4317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932665098 | Roxanne Prince | Counselor | 2518 1st Ave S, Minneapolis, MN 55404-4317 | 2019-02-13 |
1447866975 | Sarah Bergstrand | Licensed Practical Nurse | 2518 1st Ave S, Minneapolis, MN 55404-4317 | 2020-09-21 |
1841802113 | Margaret Bauer | Registered Nurse | 2518 1st Ave S, Minneapolis, MN 55404-4317 | 2020-08-18 |
1871104372 | Katherine Anne Hochsprung | Counselor | 2518 1st Ave S, Minneapolis, MN 55404-4317 | 2020-08-10 |
1033729785 | Samantha Jo Floersch | Counselor | 2518 1st Ave S, Minneapolis, MN 55404-4317 | 2020-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
Find all providers in zip 55404 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
1366056392 | Brianna Connor | Counselor | 2450 Riverside Ave Bldg Suite140, Minneapolis, MN 55454-1450 | 2020-09-08 |
1144831959 | Brian James Rose | Counselor | 5061 Lyndale Ave S, Minneapolis, MN 55419-1215 | 2020-08-14 |
1740891688 | Jennifer Twa | Counselor | 2104 Stevens Ave, Minneapolis, MN 55404-2533 | 2020-08-13 |
1568072254 | Marian Margaret Spiess | Counselor | 2200 1st Ave S, Minneapolis, MN 55404-3401 | 2020-08-06 |
1689201352 | Alyssa Mary Nyberg | Counselor | 2960 Winnetka Ave N Ste 1010, Minneapolis, MN 55427-2853 | 2020-03-24 |
1497392666 | Kristine Geraldine Hanson | Counselor | 2611 40th Ave S, Minneapolis, MN 55406-1862 | 2019-12-05 |
1265080501 | Carolyn J Niesche | Counselor | 2518 N 2nd St Ste 113, Minneapolis, MN 55411-2259 | 2019-08-29 |
1053966069 | Shane Jensen | Counselor | 610 22nd Ave S, Minneapolis, MN 55454-1315 | 2019-08-06 |
1114584760 | Lynn Marie Allar | Counselor | 2200 E Franklin Ave Ste 200a, Minneapolis, MN 55404-2395 | 2019-05-20 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55404 |
Please comment or provide details below to improve the information on TRACEY C 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.