Active NPI
Rustin Baker, MSN, NP-C
- Family Nurse Practitioner
- Amarillo, TX
National Provider Identifier
1386056596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP125941
- Practice address
- 6200 W I 40
Amarillo, TX 79106-2512 - Phone
- (806) 354-9764
- Fax
- (806) 355-2728
- NPI assigned
- May 21, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP125941 | TX | Primary |
Addresses
Primary practice location
6200 W I 40
Amarillo, TX 79106-2512
Mailing address
6200 W I 40
Amarillo, TX 79106-2512
Phone (806) 354-9764
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP125941 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine Centers Lab L P | Past | Accepting new patients | |
| FMC Medical Foundation, Inc. | Family | Past | Accepting new patients |
| FMC Clinics, P.a. | Family | Past | Accepting new patients |
| Cca Cath Lab LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454976000000",
"number": "1386056596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 W I 40",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062512",
"telephone_number": "806-354-9764",
"fax_number": "806-355-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 W I 40",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062512",
"telephone_number": "806-354-9764",
"fax_number": "806-355-2728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "RUSTIN",
"credential": "MSN, NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-21",
"last_updated": "2016-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP125941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.