Provider Demographics
NPI:1427759752
Name:BAKER, DEVIN ROBINETTE (MS, RD)
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:ROBINETTE
Last Name:BAKER
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:DEVIN
Other - Middle Name:CASEY
Other - Last Name:ROBINETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD
Mailing Address - Street 1:700 PARK DR
Mailing Address - Street 2:
Mailing Address - City:DIXON
Mailing Address - State:CA
Mailing Address - Zip Code:95620-2729
Mailing Address - Country:US
Mailing Address - Phone:707-301-9528
Mailing Address - Fax:
Practice Address - Street 1:700 PARK DR
Practice Address - Street 2:
Practice Address - City:DIXON
Practice Address - State:CA
Practice Address - Zip Code:95620-2729
Practice Address - Country:US
Practice Address - Phone:707-301-9528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1017755133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered