Individual provider Active NPI

Pamela Grace Baker, CRNP

  • Family Nurse Practitioner
  • Louisville, AL
National Provider Identifier
1477102390
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-125343 Issued in AL
Practice address
31 Railroad St
Louisville, AL 36048-3123
Phone
(334) 266-5110
Fax
(334) 266-5199
NPI assigned
Sep 4, 2019
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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 1-125343 AL Primary

Addresses

Primary practice location

31 Railroad St
Louisville, AL 36048-3123

Mailing address

733 Annabrook Dr
Auburn, AL 36830-7529
Phone (334) 332-9130

Other practice location 1

130B N Randolph Ave
Eufaula, AL 36027-1631
Phone (334) 232-4313

Other practice location 2

826 W Washington St
Eufaula, AL 36027-1828
Phone (334) 688-7410

Other practice location 3

733 Annabrook Dr
Auburn, AL 36830-7529
Phone (334) 332-9130 ext. 33433

Other practice location 4

820 W Washington St
Eufaula, AL 36027-1822
Phone (334) 688-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191002000356 AL Practitioner - Nurse Practitioner 5496085680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

512 Main St
Hurtsboro, AL 36860
Phone (334) 232-6551

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-125343ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hurtsboro Adult and Pediatric Medicine, LLC CurrentSince Sep 20, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1477102390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 ANNABROOK DR",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368307529",
            "telephone_number": "334-332-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 RAILROAD ST",
            "city": "LOUISVILLE",
            "state": "AL",
            "postal_code": "360483123",
            "telephone_number": "334-266-5110",
            "fax_number": "334-266-5199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130B N Randolph Ave",
            "address_purpose": "LOCATION",
            "city": "Eufaula",
            "state": "AL",
            "postal_code": "360271631",
            "country_code": "US",
            "telephone_number": "334-232-4313",
            "fax_number": "334-232-4664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "826 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Eufaula",
            "state": "AL",
            "postal_code": "360271828",
            "country_code": "US",
            "telephone_number": "334-688-7410",
            "fax_number": "334-688-7419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "733 Annabrook Dr",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368307529",
            "country_code": "US",
            "telephone_number": "334-332-9130 x33433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Eufaula",
            "state": "AL",
            "postal_code": "360271822",
            "country_code": "US",
            "telephone_number": "334-688-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "PAMELA",
        "middle_name": "GRACE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-125343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, AL

Sources for this page

Verify at the official NPI Registry.