Individual provider Active NPI

Clifton Richard Baker, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • North Chesterfield, VA
National Provider Identifier
1245567965
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024180217 Issued in VA
Practice address
11600 Busy St Ste 203
North Chesterfield, VA 23236-4066
Phone
(804) 506-0526
Fax
(804) 506-0526
NPI assigned
Nov 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001203890 VA
Acute Care Nurse Practitioner 363LA2100X 0024180217 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024180217 VA Primary

Addresses

Primary practice location

11600 Busy St Ste 203
North Chesterfield, VA 23236-4066

Mailing address

2304 Leighton CT
Richmond, VA 23238-3020
Phone (804) 938-0683

Other practice location 1

2304 Leighton Ct
Richmond, VA 23238-3020
Phone (804) 562-2997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240425003457 VA Practitioner - Nurse Practitioner 6305286253 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001203890VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical LLC CurrentSince Feb 2, 2026 Accepting new patients
Spero Health of Virginia, LLC CurrentSince Mar 18, 2024 Accepting new patients
Foundation Medical LLC PastSince Oct 5, 2025 Accepting new patients

Locations

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

314 Fairy Street Ext
Ste B
Martinsville, VA 24112
Phone (276) 201-1647

11600 Busy St
Ste 203
North Chesterfield, VA 23236
Phone (804) 506-0526

34 Medical Park Blvd
Ste A
Petersburg, VA 23805
Phone (804) 592-6348

8751 Park Central Dr
Ste 200
Richmond, VA 23227
Phone (804) 261-3340

2502 Broadway Ave SW
Roanoke, VA 24014
Phone (540) 344-2000

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1245567965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 LEIGHTON CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232383020",
            "telephone_number": "804-938-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 BUSY ST STE 203",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364066",
            "telephone_number": "804-506-0526",
            "fax_number": "804-506-0526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2304 Leighton Ct",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232383020",
            "country_code": "US",
            "telephone_number": "804-562-2997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CLIFTON",
        "middle_name": "RICHARD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-17",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001203890",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024180217",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024180217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.