Active NPI
Victoria Margaret Baker-Janis, NP
- Family Nurse Practitioner
- Eglin, FL
National Provider Identifier
1376512699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN190935
- Practice address
- 307 Boatner Rd
Suite 114
Eglin, FL 32542-1302 - Phone
- (850) 883-8600
- NPI assigned
- Mar 17, 2006
- Last updated
- Jun 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN126044 | MO | |
| Family Nurse Practitioner | 363LF0000X | RN190935 | GA | Primary |
Addresses
Primary practice location
307 Boatner Rd
Suite 114
Eglin, FL 32542-1302
Mailing address
307 Boatner Rd
Suite 114
Eglin, FL 32542-1302
Phone (850) 883-8600
Other names 1
- Ms. Victoria Margaret Baker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN126044 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David E Kim MD PC | Past | Accepting new patients | |
| Emory Medical Group, LLC | Past | Accepting new patients | |
| Southeast Urgent Care LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Cartersville, GA
- NPI 1194919381
-
- Oral and Maxillofacial Surgery Clinic/Center
- Atlanta, GA
- NPI 1568661510
-
dba Southeast Urgent Care
- Urgent Care Clinic/Center
- Snellville, GA
- NPI 1649589466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433462400000",
"number": "1376512699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 BOATNER RD",
"address_2": "SUITE 114",
"city": "EGLIN",
"state": "FL",
"postal_code": "325421302",
"telephone_number": "850-883-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 BOATNER RD",
"address_2": "SUITE 114",
"city": "EGLIN",
"state": "FL",
"postal_code": "325421302",
"telephone_number": "850-883-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER-JANIS",
"first_name": "VICTORIA",
"middle_name": "MARGARET",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2015-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "RN126044",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN190935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "BAKER",
"middle_name": "MARGARET",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Eglin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.