Individual provider Active NPI

Lauren E. Bakke, MSN

  • Ambulatory Women's Health Care Registered Nurse
  • Little Rock AFB, AR
National Provider Identifier
1376788638
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X
License
056068-21 Issued in NH
Practice address
1090 Arnold Drive
19 Mdos/Sgokp
Little Rock AFB, AR 72099-4933
Phone
(501) 987-7493
Fax
(501) 987-7424
NPI assigned
Dec 15, 2008
Last updated
Dec 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X 056068-21 NH Primary

Addresses

Primary practice location

1090 Arnold Drive
19 Mdos/Sgokp
Little Rock AFB, AR 72099-4933

Mailing address

1090 Arnold Drive
19 Mdos/Sgokp
Little Rock AFB, AR 72099-4933
Phone (501) 987-7493

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)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
056068-21NHMDAmbulatory Women's Health Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1376788638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 ARNOLD DRIVE",
            "address_2": "19 MDOS/SGOKP",
            "city": "LITTLE ROCK AFB",
            "state": "AR",
            "postal_code": "720994933",
            "telephone_number": "501-987-7493",
            "fax_number": "501-987-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 ARNOLD DRIVE",
            "address_2": "19 MDOS/SGOKP",
            "city": "LITTLE ROCK AFB",
            "state": "AR",
            "postal_code": "720994933",
            "telephone_number": "501-987-7493",
            "fax_number": "501-987-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKKE",
        "first_name": "LAUREN",
        "middle_name": "E.",
        "credential": "MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "NH",
            "license": "056068-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock AFB, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.