Individual provider Active NPI

Jami Lanette Baker, FNP-C

  • Family Nurse Practitioner
  • Mount Pleasant, TX
National Provider Identifier
1104383082
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140637 Issued in TX
Practice address
1610 S Jefferson Ave
Mount Pleasant, TX 75455-5614
Phone
(903) 577-2273
NPI assigned
Feb 27, 2019
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140637 TX Primary

Addresses

Primary practice location

1610 S Jefferson Ave
Mount Pleasant, TX 75455-5614

Mailing address

1908 Stacie St
Mount Pleasant, TX 75455-5975
Phone (903) 575-0065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190626000274 TX Practitioner - Nurse Practitioner 3072847003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chris Burling MD PAGroup PAC ID 7214932219, 2 clinicians

Practice addresses (Care Compare)

618 N Jefferson Ave
Mt. Pleasant Family Practice
Mt Pleasant, TX 75455-3647
Phone (903) 575-9500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP140637TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chris Burling, M.D., P.a. CurrentSince Sep 3, 2019 Accepting new patients
Late Bloomers, LLC Family Past Accepting new patients

Locations

618 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 575-9500

618 N Jefferson Ave
Ste 1
Mt Pleasant, TX 75455
Phone (903) 575-9500

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1104383082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 STACIE ST",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754555975",
            "telephone_number": "903-575-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 S JEFFERSON AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754555614",
            "telephone_number": "903-577-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JAMI",
        "middle_name": "LANETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.