Clifford Eugene Baker, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R690392 Issued in MS

Practice address

11240 Highway 49
Ste 300
Gulfport, MS 39503-4151

Phone

(228) 284-4342

Fax

(228) 284-4345

NPI assigned

Sep 4, 2006

Last updated

Oct 26, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Acs Emergency Services of Mississippi Professional Association

  • Emergency Medicine Physician
  • Cleveland, MS
  • NPI 1396996997
  NPD (past)
• Garden Park Physician Services Corp.

  dba Family Health Care Center

  • Midwife
  • Gulfport, MS
  • NPI 1942392386
  NPD (past)
• Singing River Gulfport

  dba Singing River Gulfport Ambulatory

  • Multi-Specialty Clinic/Center
  • Gulfport, MS
  • NPI 1861010159
  NPD (past)
• Stone County Hospital, Inc

  dba Stone County Hospital Ambulance

  • Ambulance
  • Wiggins, MS
  • NPI 1003073057
  NPD (past)

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1104928605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 HIGHWAY 49",
            "address_2": "STE 300",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034151",
            "telephone_number": "228-284-4342",
            "fax_number": "228-284-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 HIGHWAY 49",
            "address_2": "STE 300",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034151",
            "telephone_number": "228-284-4342",
            "fax_number": "228-284-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CLIFFORD",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R690392",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116632",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty Bailey, M.D.
• Chelsea Bailey, DPT
• David Jason Bailey, MD
• Sal Bailey, LMSW
• Angela Paoletto Baker, RDH
• Kari Baker, P-LPC
• Share Baker
• Balanced Living Counseling and Consulting Services
• Donald Allan Balder, MD
• Jeremiah John Baldwin, IDC

• Family Nurse Practitioner in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.