Active NPI
Natalie R Baker, CRNP
- Adult Health Nurse Practitioner
- Madison, AL
National Provider Identifier
1043551716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 147392-21
- Practice address
- 12205 County Line Rd
Suite B
Madison, AL 35758-7719 - Phone
- (256) 325-4365
- Fax
- (256) 461-0393
- NPI assigned
- Mar 6, 2013
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 147392-21 | AL | Primary |
| Gerontology Clinical Nurse Specialist | 364SG0600X | 0190343-23 | AL |
Addresses
Primary practice location
12205 County Line Rd
Suite B
Madison, AL 35758-7719
Mailing address
12205 County Line Rd
Suite B
Madison, AL 35758-7719
Phone (256) 325-4365
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147392-21 | AL | MD | Adult Health Nurse Practitioner |
| 0190343-23 | AL | MD | Gerontology Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362528000000",
"number": "1043551716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12205 COUNTY LINE RD",
"address_2": "SUITE B",
"city": "MADISON",
"state": "AL",
"postal_code": "357587719",
"telephone_number": "256-325-4365",
"fax_number": "256-461-0393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12205 COUNTY LINE RD",
"address_2": "SUITE B",
"city": "MADISON",
"state": "AL",
"postal_code": "357587719",
"telephone_number": "256-325-4365",
"fax_number": "256-461-0393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "NATALIE",
"middle_name": "R",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-06",
"last_updated": "2013-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AL",
"license": "147392-21",
"primary": true
},
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "AL",
"license": "0190343-23",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.