Active NPI
Walter C Baker, NP
- Nurse Practitioner
- Chapel Hill, NC
National Provider Identifier
1376761189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 005002795
- Practice address
- 500 Carolina MDWS
Chapel Hill, NC 27517-8471 - Phone
- (919) 370-9196
- Fax
- (919) 942-0377
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 005002795 | NC | Primary |
Addresses
Primary practice location
500 Carolina MDWS
Chapel Hill, NC 27517-8471
Mailing address
500 Carolina MDWS
Chapel Hill, NC 27517-8471
Phone (919) 370-9196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7003985 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005002795 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Specialist
- West Orange, NJ
- NPI 1447206420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1376761189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CAROLINA MDWS",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275178471",
"telephone_number": "919-370-9196",
"fax_number": "919-942-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CAROLINA MDWS",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275178471",
"telephone_number": "919-370-9196",
"fax_number": "919-942-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "WALTER",
"middle_name": "C",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "005002795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7003985",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.