Provider Demographics
NPI:1225471725
Name:BAGGETT, CALEY KING (CRNP)
Entity Type:Individual
Prefix:
First Name:CALEY
Middle Name:KING
Last Name:BAGGETT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CALEY
Other - Middle Name:DIANA
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7191 CAHABA VALLEY RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-6402
Mailing Address - Country:US
Mailing Address - Phone:205-995-9909
Mailing Address - Fax:205-930-2063
Practice Address - Street 1:7191 CAHABA VALLEY RD
Practice Address - Street 2:SUITE 300
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-6402
Practice Address - Country:US
Practice Address - Phone:205-995-9909
Practice Address - Fax:205-930-2063
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2017-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-127633363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner