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1427849322 NPI number — KELLI BAKER RN

NPI Number: 1427849322
Health Care Provider/Practitioner: KELLI BAKER RN

Information about “1427849322” NPI (KELLI BAKER RN) exists in 1427849322 in HTML format HTML  |  1427849322 in plain Text format TXT  |  1427849322 in PDF (Portable Document Format) PDF  |  1427849322 in an XML format XML  formats.

NPI Number : 1427849322 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427849322",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAKER",
    "FirstName": "KELLI",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5500 94TH AVE N",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKLYN PARK",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55443-1992",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "763-290-1039",
    "MailingAddressFaxNumber": "763-315-6673",
    "FirstLinePracticeLocationAddress": "5500 94TH AVE N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROOKLYN PARK",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55443-1992",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "763-290-1039",
    "PracticeLocationAddressFaxNumber": "763-315-6673",
    "EnumerationDate": "05/13/2025",
    "LastUpdateDate": "05/13/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "163WP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Registered Nurse",
        "LicenseNumber": "2506251",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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