Alicia Renee Baker, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Washington, DC
NPI 1477859346 · NPPES record last updated May 31, 2019
Key facts
- NPI
- 1477859346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN1006068 (DC)
- Practice address
- 3924 Minnesota Ave NE
Washington, DC 20019-2661 - Phone
- (202) 398-8683
- Fax
- (202) 627-7815
- NPI assigned
- Feb 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140519001401 | DC | Practitioner - Nurse Practitioner | 4183847221 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1006068 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN1006068 | DC | |
| Family Nurse Practitioner | 363LF0000X | RN1006068 | DC | Yes |
Addresses
Primary practice location
3924 Minnesota Ave NE
Washington, DC 20019-2661
Mailing address
1220 12TH St SE Ste 120
Washington, DC 20003-3733
Phone (202) 398-8683
Other providers in Washington, DC
- Randi Bakari
- Ines R Baker Mayers
- Serenity H Baker-Smith
- Michelle Baker-Welch
- Alice Baker
- Amanda Courtney Baker
- Angel Dionnah Baker
- Angelia Michelle Baker
- Arthur Baker
- Ashley Allesse Baker
All providers in Washington, DC · Family Nurse Practitioner in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.