Alicia Jennifer Baldassare, APRN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP135439 Issued in TX

Practice address

3701 Grapevine Mills Pkwy Apt 2526
Grapevine, TX 76051-1939

Phone

(201) 230-3376

NPI assigned

Jul 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1386197341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 GRAPEVINE MILLS PKWY APT 2526",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 GRAPEVINE MILLS PKWY APT 2526",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511939",
            "telephone_number": "201-230-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3024 Highway 121",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760214037",
            "country_code": "US",
            "telephone_number": "817-494-5000",
            "fax_number": "817-494-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDASSARE",
        "first_name": "ALICIA",
        "middle_name": "JENNIFER",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "807308",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN621735",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R 241060-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP 4887",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Bailey, MS, RD, LD
• Brookley Baker
• Heather Baker
• Joe Don Baker, R.PH.
• Bruce A Bakke, R.PH., MBA
• Ryan Patrick Balogh, M.D.
• Tami Imbriale Bannister, PT
• Haley Barber, LMSW
• Allison C Bardin, PA
• Amy Michelle Barger, FNP-C

• Family Nurse Practitioner in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.