Amanda Baker FNP-C, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 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

Last updated

Jul 10, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Baker, ARNPNPI 1326708421

Title

Owner

Phone

(509) 485-4663

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26015/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Lee Baker, ARNP FNP

  • Family Nurse Practitioner
  • Deer Park, WA
  • NPI 1326708421
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1003563370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 317",
            "city": "ELK",
            "state": "WA",
            "postal_code": "990090317",
            "telephone_number": "509-485-4663",
            "fax_number": "833-661-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E CRAWFORD ST",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990065432",
            "telephone_number": "509-485-4663",
            "fax_number": "833-661-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA BAKER FNP-C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-485-4663",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 49 Degrees Counseling Inc
• 509 Wellness LLC
• Lori Ann Adams
• Anchored Childbirth
• Laura J Attaway, LMP
• Michael Bacani
• Amanda Lee Baker, ARNP FNP
• Whitney Baker

• Family Nurse Practitioner in Deer Park, WA
• Providers in Deer Park, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.