Organization Active NPI

Amanda Baker, P.a.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, AR
National Provider Identifier
1396095741
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
P1112094 Issued in AR
Legal business name
AMANDA BAKER, P.A.
Practice address
408 S Main St
Jonesboro, AR 72401-2963
Phone
(870) 336-7526
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Amanda Baker
Title
President
Phone
(870) 336-7526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X P1112094 AR Primary

Addresses

Primary practice location

408 S Main St
Jonesboro, AR 72401-2963

Mailing address

408 S Main St
Jonesboro, AR 72401-2963
Phone (870) 336-7526

National Provider Directory

National Provider Directory

Locations

408 S Main St
Jonesboro, AR 72401
Phone (870) 336-7526

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1396095741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S MAIN ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012963",
            "telephone_number": "870-336-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S MAIN ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012963",
            "telephone_number": "870-336-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA BAKER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-336-7526"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AR",
            "license": "P1112094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.