Individual provider Active NPI

Cori Baker, NP

  • Family Nurse Practitioner
  • Blountville, TN
National Provider Identifier
1407571284
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32190 Issued in TN
Practice address
1913 Highway 394
Blountville, TN 37617-5349
Phone
(423) 662-7002
Fax
(423) 662-7003
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 32190 TN Primary

Addresses

Primary practice location

1913 Highway 394
Blountville, TN 37617-5349

Mailing address

1913 Highway 394
Blountville, TN 37617-5349
Phone (423) 662-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221017002545 TN Practitioner - Nurse Practitioner 2860868809 Reassigns benefits to 2 organizations
I20240723003699 NC Practitioner - Nurse Practitioner 2860868809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fast Pace Medical Clinic PLLC 737 clinicians
Tinsley Surgical PA 6 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

1717 Shipyard Blvd
Suite 200
Wilmington, NC 28403-8019
Phone (910) 769-2583

1797 Fort Henry Dr
Kingsport, TN 37664-3226
Phone (423) 830-0516

1913 Hwy 394
Blountville, TN 37617-5349
Phone (423) 662-7002

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

Hospital & facility affiliations

  • Liberty Home Care, LLC Home health agency, Wilmington, NC, CCN 347001
  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
32190TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 19, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 5, 2025 Accepting new patients
Tinsley Surgical, PA CurrentSince Jun 1, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 5, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 19, 2022 Accepting new patients

Locations

1717 Shipyard Blvd
Ste 200
Wilmington, NC 28403
Phone (910) 452-8482

1913 Highway 394
Blountville, TN 37617
Phone (423) 662-7002

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22201/brand/1/csg/1/fhir/r4
  • Direct secure messaging: cori.baker.1@22201.direct.athenahealth.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1407571284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 HIGHWAY 394",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376175349",
            "telephone_number": "423-662-7002",
            "fax_number": "423-662-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 HIGHWAY 394",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376175349",
            "telephone_number": "423-662-7002",
            "fax_number": "423-662-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CORI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blountville, TN

Sources for this page

Verify at the official NPI Registry.