Victoria Margaret Baker-Janis, NP
Individual provider Active NPI Family Nurse Practitioner · Eglin, FL
NPI 1376512699 · NPPES record last updated Jun 5, 2015
Key facts
- NPI
- 1376512699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN190935 (GA)
- Practice address
- 307 Boatner Rd
Suite 114
Eglin, FL 32542-1302 - Phone
- (850) 883-8600
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN190935 | GA | MD | Family Nurse Practitioner |
| RN126044 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Group, LLC | Past | Accepting new patients | |
| David E Kim MD PC | Past |
Accepting new patients | |
| Southeast Urgent Care LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN126044 | MO | |
| Family Nurse Practitioner | 363LF0000X | RN190935 | GA | Yes |
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
- Ms. Victoria Margaret Baker
Other providers in Eglin, FL
All providers in Eglin, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.