Individual provider Active NPI

Anne Marie Baumgartner, RN, MSN,ARNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cary, NC
National Provider Identifier
1033424684
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5004940 Issued in NC
Practice address
401 Keisler Dr Ste 100
Cary, NC 27518-7084
Phone
(919) 439-6120
Fax
(919) 246-4420
NPI assigned
Aug 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 6560P KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5004940 NC Primary

Addresses

Primary practice location

401 Keisler Dr Ste 100
Cary, NC 27518-7084

Mailing address

401 Keisler Dr Ste 100
Cary, NC 27518-7084
Phone (919) 439-6120

Other names 1

  • Miss Anne Marie Boudreau Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
6560PKYMDPsychiatric/Mental Health Nurse Practitioner
5004940NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coates Hearing Clinic, PA Past Accepting new patients
Mindpath Care Centers, North Carolina, PLLC Psychiatric/Mental Health PastSince Dec 11, 2012 Accepting new patients
Paradigm Health Psychiatric SRV, LLC PastSince Feb 8, 2011 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1033424684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 KEISLER DR STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187084",
            "telephone_number": "919-439-6120",
            "fax_number": "919-246-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 KEISLER DR STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187084",
            "telephone_number": "919-439-6120",
            "fax_number": "919-246-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARTNER",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN, MSN,ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "6560P",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5004940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "BOUDREAU",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.