Individual provider Active NPI

Carol Elaine Baker, NP-C

  • Family Nurse Practitioner
  • Lakeway, TX
National Provider Identifier
1144267808
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
250654 Issued in TX
Practice address
2300 Lohmans Spur
Suite 106
Lakeway, TX 78734-6206
Phone
(512) 263-7133
Fax
(512) 263-0451
NPI assigned
Jun 1, 2006
Last updated
Oct 3, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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 250654 TX Primary

Addresses

Primary practice location

2300 Lohmans Spur
Suite 106
Lakeway, TX 78734-6206

Mailing address

2300 Lohmans Spur
Suite 106
Lakeway, TX 78734-6206
Phone (512) 263-7133

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
I20070131000337 TX Practitioner - Nurse Practitioner 1355342536 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
250654TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brent Bennett MD PA CurrentSince Sep 9, 2010 Accepting new patients

Locations

2300 Lohmans Spur Rd
Ste 106
Lakeway, TX 78734
Phone (512) 263-7133

Organizations & group practices 1

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1144267808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 LOHMANS SPUR",
            "address_2": "SUITE 106",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346206",
            "telephone_number": "512-263-7133",
            "fax_number": "512-263-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LOHMANS SPUR",
            "address_2": "SUITE 106",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346206",
            "telephone_number": "512-263-7133",
            "fax_number": "512-263-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CAROL",
        "middle_name": "ELAINE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "250654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

Verify at the official NPI Registry.