Individual provider Active NPI

Bailey Grace Baker, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1275280364
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN30911 Issued in TN
Practice address
463 1St St NW
Cleveland, TN 37311-1760
Phone
(423) 790-7662
Fax
(423) 790-7664
NPI assigned
Mar 8, 2022
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN30911 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN30911 TN Primary
Primary Care Nurse Practitioner 363LP2300X APN0000030911 TN

Addresses

Primary practice location

463 1St St NW
Cleveland, TN 37311-1760

Mailing address

463 1St St NW
Cleveland, TN 37311-1760
Phone (423) 790-7662

Other practice location 1

6107 Pinewood Rd
Nunnelly, TN 37137-2523
Phone (888) 852-6672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230831002304 TN Practitioner - Nurse Practitioner 2567825086 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000030911TNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Above and Beyond Mental Health LLC Family CurrentSince Apr 13, 2025 Accepting new patients
At Home Primary Care Inc CurrentSince Mar 13, 2022 Accepting new patients

Locations

463 1st St NW
Cleveland, TN 37311
Phone (423) 790-6556

Organizations & group practices 2

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": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1275280364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 1ST ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111760",
            "telephone_number": "423-790-7662",
            "fax_number": "423-790-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 1ST ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111760",
            "telephone_number": "423-790-7662",
            "fax_number": "423-790-7664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6107 Pinewood Rd",
            "address_purpose": "LOCATION",
            "city": "Nunnelly",
            "state": "TN",
            "postal_code": "371372523",
            "country_code": "US",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BAILEY",
        "middle_name": "GRACE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN30911",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN30911",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "APN0000030911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.