Active NPI
Susan Rene' Baker, APRN, CPNP
- Pediatric Nurse Practitioner
- Allen, TX
National Provider Identifier
1033449921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP113192
- Practice address
- 105 N Alma Dr Ste 300
Allen, TX 75013-3359 - Phone
- (972) 720-3333
- Fax
- (469) 730-4009
- NPI assigned
- Dec 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP113192 | TX | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 653558 | TX |
Addresses
Primary practice location
105 N Alma Dr Ste 300
Allen, TX 75013-3359
Mailing address
105 N Alma Dr Ste 300
Allen, TX 75013-3359
Phone (972) 720-3333
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)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 653558 | TX | MD | Pediatric Nurse Practitioner |
| AP113192 | TX | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- https://api.platform.athenahealth.com/14040/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1033449921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 N ALMA DR STE 300",
"city": "ALLEN",
"state": "TX",
"postal_code": "750133359",
"telephone_number": "972-720-3333",
"fax_number": "469-730-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N ALMA DR STE 300",
"city": "ALLEN",
"state": "TX",
"postal_code": "750133359",
"telephone_number": "972-720-3333",
"fax_number": "469-730-4009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "SUSAN",
"middle_name": "RENE'",
"name_prefix": "Mrs.",
"credential": "APRN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-28",
"last_updated": "2024-12-10",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP113192",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "653558",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.