NPI 1003817016 · live from the CMS NPI Registry
Doreatha J Baker, CPNP
Nurse Practitioner, Pediatrics in Saint Paul, MN. National Provider Identifier 1003817016, active.
NPI record
| NPI | 1003817016 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 347 Smith Ave N, Saint Paul, MN 55102 |
| Practice phone | 651-220-6708 |
| Mailing address | 2910 Centre Pointe Dr, 35-121a, Roseville, MN 55113 |
| Enumerated | August 2, 2005 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | R091715-1 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.