Provider Demographics
NPI:1841070398
Name:BAKER, KRISTI J (RD)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:J
Last Name:BAKER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4035 SCIOTO LN UNIT 303
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-6733
Mailing Address - Country:US
Mailing Address - Phone:760-814-7288
Mailing Address - Fax:
Practice Address - Street 1:2244 FARADAY AVE
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-7208
Practice Address - Country:US
Practice Address - Phone:619-363-4853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered