Individual provider Active NPI

Genevieve Lorwren Baxter, ARNP

  • Critical Care Pediatric Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1114495058
Registry record updated Oct 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
License
29477 Issued in TN
Practice address
848 Adams Ave
Memphis, TN 38103
Phone
(901) 287-7337
Fax
(901) 287-4646
NPI assigned
Nov 8, 2018
Last updated
Oct 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X 29477 TN Primary
Critical Care Pediatric Nurse Practitioner 363LP0222X 252428 TN

Addresses

Primary practice location

848 Adams Ave
Memphis, TN 38103

Mailing address

850 Poplar Ave.
BLDG 2
Memphis, TN 38105

Other practice location 1

51 N Dunlap St
Memphis, TN 38105
Phone (901) 287-7337

Other identifiers 1

IdentifierTypeStateIssuer
Q077149MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190104002939 WA Practitioner - Nurse Practitioner 6103162599 Reassigns benefits to 1 organization
I20221026001086 TN Practitioner - Nurse Practitioner 6103162599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Lebonheur Pediatric Specialists, Inc.Group PAC ID 7719173939, 162 clinicians

Practice addresses (Care Compare)

100 N Humphreys Blvd
Memphis, TN 38120-2146
Phone (901) 287-7337

848 Adams Ave
Memphis, TN 38103-2816

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252428TNMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane Current Accepting new patients
Community Health Association of Spokane CurrentSince Nov 13, 2018 Accepting new patients
Community Health Association of Spokane CurrentSince Nov 13, 2018 Accepting new patients

Locations

1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205

203 N Washington St
Ste 300
Spokane, WA 99201

817 S Perry St
Unit B
Spokane, WA 99202
Phone (509) 434-0390

Interoperability endpoints

  • Direct secure messaging: gbaxter26239@mlh.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697241600000",
    "number": "1114495058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 POPLAR AVE.",
            "address_2": "BLDG 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38105",
            "fax_number": "901-287-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 ADAMS AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38103",
            "telephone_number": "901-287-7337",
            "fax_number": "901-287-4646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 N Dunlap St",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38105",
            "country_code": "US",
            "telephone_number": "901-287-7337",
            "fax_number": "901-287-4646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "GENEVIEVE",
        "middle_name": "LORWREN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2023-10-14",
        "certification_date": "2023-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "TN",
            "license": "29477",
            "primary": true
        },
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "TN",
            "license": "252428",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q077149",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.