Amanda Baker FNP-C, LLC
Organization Active NPI Family Nurse Practitioner · Deer Park, WA
NPI 1003563370 · NPPES record last updated Jul 10, 2024
Key facts
- NPI
- 1003563370
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- AMANDA BAKER FNP-C, LLC
- Practice address
- 23 E Crawford St
Deer Park, WA 99006-5432 - Phone
- (509) 485-4663
- Fax
- (833) 661-1784
- NPI assigned
- Mar 7, 2022
- Organization subpart
- No
Authorized official
- Name
- Amanda Baker, ARNP
- Title
- Owner
- Phone
- (509) 485-4663
Practitioners 1
-
Amanda Lee Baker, ARNP FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220517002398 | WA | Part B Supplier - Clinic/Group Practice | 9638556442 |
Receives reassigned benefits from 1 practitioner Practice locations: Deer Park, WA |
National Provider Directory
Interoperability endpoints
- https://api.platform.athenahealth.com/26015/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
23 E Crawford St
Deer Park, WA 99006-5432
Mailing address
PO Box 317
Elk, WA 99009-0317
Phone (509) 485-4663
Other providers in Deer Park, WA
- 49 Degrees Counseling Inc
- 509 Wellness LLC
- Lori Ann Adams
- Anchored Childbirth
- Laura J Attaway
- Michael Bacani
- Amanda Lee Baker
- Chad Christian Barrett
All providers in Deer Park, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.