STACEY M BAKER (NPI# 1871053967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871053967 |
| Entity Type | Individual |
| Full Name | STACEY M BAKER |
| Practice Address |
1761 Dixdale Ave Louisville KY 40210-2217 |
| Mailing Address |
Po Box 16851 Louisville KY 40256-0851 |
| Practice Telephone | 5023877198 |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2019-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
247021 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 101YP2500X | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235652140 | Stacey L Baker | Social Worker | 1 Edgemont Dr, Presque Isle, ME 04769 | 2017-07-23 |
| 1205043544 | Stacey Kathleen Baker | Physical Therapist | 629 S Plummer Ave, Chanute, KS 66720-1928 | 2007-05-17 |
| 1639126014 | Stacey E Baker | Internal Medicine | 7800 Sw 87th Ave, Ste B260, Miami, FL 33173-3570 | 2006-05-30 |
| 1912975681 | Stacey L Baker | Physical Therapist | 1 Halfmoon Executive Park Dr, Clifton Park, NY 12065 | 2006-03-09 |
| Street Address |
1761 DIXDALE AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40210-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568919322 | Drjbcdc | Chiropractor | 1714 Dixie Hwy, Louisville, KY 40210 | 2016-09-08 |
| 1194900100 | Mahyar Mofidi | Dentist | 1480 Dixie Hwy, Louisville, KY 40210 | 2008-01-09 |
| 1962552042 | Dixie Dental Center Psc | Clinic/Center | 1480 Dixie Hwy, Louisville, KY 40210 | 2007-01-11 |
| 1528494770 | Valerie Gholson Day | Marriage & Family Therapist | 1620 Anderson St, Louisville, KY 40210-1032 | 2013-09-19 |
| 1851821532 | Heart 2 Heart Veterans Care | Nurse's Aide | 2518 Osage Ave, Louisville, KY 40210-1116 | 2017-06-15 |
| 1588127310 | Klf Company LLC | Community/Behavioral Health | 1833 Date St, Louisville, KY 40210-1245 | 2019-04-09 |
| 1407305998 | Prorehab Louisville | Clinic/Center | 902 S 15th St, Louisville, KY 40210-1319 | 2016-09-26 |
| 1568070480 | Stimar Healthcare LLC | Nurse Practitioner | 2111 W Oak St, Louisville, KY 40210-1419 | 2020-07-16 |
| 1982240115 | Geri Ann Thomas | Nurse Practitioner | 2228 Hale Ave, Louisville, KY 40210-1436 | 2019-11-22 |
| 1649747882 | Tanika L. Owens | Kinesiotherapist | 1022 Dumesnil St., Louisville, KY 40210-1517 | 2018-10-25 |
| Find all providers in zip 40210 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625649 | Laronica Shonta Lawson | Counselor | 17127 Piton Way, Louisville, KY 40245-5409 | 2020-06-29 |
| 1295351724 | Jonathan Yussman | Counselor | 3102 Sunfield Cir, Louisville, KY 40241-6514 | 2020-06-20 |
| 1841811478 | Geneva Marie Drane | Counselor | 4316 Lonsdale Ave, Louisville, KY 40215-1036 | 2020-05-05 |
| 1366082059 | Ramicha T Smith | Counselor | 4602 Southern Pkwy Ste 2c, Louisville, KY 40214-1442 | 2020-01-09 |
| 1558904888 | Sarah Christine Faulkner | Counselor | 3801 Beaufort Ln Apt B, Louisville, KY 40207-4454 | 2019-10-18 |
| 1477101103 | Far Journeys LLC | Counselor | 9720 Bunsen Pkwy, Louisville, KY 40299-1802 | 2019-08-27 |
| 1528615689 | Candace Cooper | Counselor | 214 Breckenridge Ln Ste 203, Louisville, KY 40207-3879 | 2019-08-23 |
| 1760036768 | Rebecca L Roberts-kerns | Counselor | 1936 Gardiner Ln Apt 3, Louisville, KY 40205-2858 | 2019-07-29 |
| 1477110906 | Lauren Muir | Counselor | 1860 Mellwood Ave Ste 117, Louisville, KY 40206-1033 | 2019-05-20 |
| 1851956999 | Christine Smock | Counselor | 700 Front St # 106, Louisville, CO 80027-1805 | 2019-05-03 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40210 |
Please comment or provide details below to improve the information on STACEY M 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.