Annette H. Baccus, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1051957 4041P Issued in KY

Practice address

300 S 8TH St
Suite 107E
Murray, KY 42071-2400

Phone

(270) 753-9240

Fax

(270) 767-3629

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Premier Medical Group PC

  dba PMedical Group

  • General Practice Physician
  • Clarksville, TN
  • NPI 1740242957
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255480323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST",
            "address_2": "SUITE 107E",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712400",
            "telephone_number": "270-753-9240",
            "fax_number": "270-767-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST",
            "address_2": "SUITE 107E",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712400",
            "telephone_number": "270-753-9240",
            "fax_number": "270-767-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCUS",
        "first_name": "ANNETTE",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1051957  4041P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000296656",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ascension Orthopaedics, PLLC
• Susan Jill Asher, RN, CNOR, RNFA
• Atlas-Coccyx Chiropractic Center, PSC (A-C Chiropractic Center, PSC)
• Faye Ann Austin, ARNP
• Nicole Ayers, COTA/L
• Karen A Bailey, APRN
• Mary Jo Baize-Moore, O.D.
• Morgan Baker
• Alan S. Bakes, PH.D.
• Baptist Health Medical Group Inc

• Family Nurse Practitioner in Murray, KY
• Providers in Murray, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.