Individual provider Active NPI

Elke Dorothea Baker, ARNP

  • Adult Health Nurse Practitioner
  • Port Richey, FL
National Provider Identifier
1053518357
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3175052 Issued in FL
Practice address
7546 Laurel Oak CT
Port Richey, FL 34668-5829
Phone
(727) 845-0287
Fax
(727) 232-3901
NPI assigned
Jun 29, 2007
Last updated
Jul 27, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3175052 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3175052 FL

Addresses

Primary practice location

7546 Laurel Oak CT
Port Richey, FL 34668-5829

Mailing address

7546 Laurel Oak CT
Port Richey, FL 34668-5829
Phone (727) 845-0287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120213000434 FL Order and Referring Only - Nurse Practitioner 9638336050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3175052FLMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1053518357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7546 LAUREL OAK CT",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346685829",
            "telephone_number": "727-845-0287",
            "fax_number": "727-232-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7546 LAUREL OAK CT",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346685829",
            "telephone_number": "727-845-0287",
            "fax_number": "727-232-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ELKE",
        "middle_name": "DOROTHEA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "3175052",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "3175052",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

Verify at the official NPI Registry.