Brenda Kathryn Baxter, ANP-BC
Individual provider Active NPI Adult Health Nurse Practitioner · Nashville, TN
NPI 1487898201 · NPPES record last updated Apr 23, 2009
Key facts
- NPI
- 1487898201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 14075 (TN)
- Practice address
- 639 Lafayette St
Nashville, TN 37203-4226 - Phone
- (615) 591-4750
- Fax
- (615) 591-4748
- NPI assigned
- Apr 23, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20090804000699 | TN | Practitioner - Nurse Practitioner | 5991858292 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14075 | TN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Advantage PLLC | Current |
Accepting new patients | |
| Tori NP, PLLC | Past |
Accepting new patients | |
| Prohealth Rural Health Services, Inc | Past | Accepting new patients |
Locations
1609 Rosewood Dr
Columbia, TN 38401
Phone (615) 472-1855
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 14075 | TN | Yes |
Addresses
Primary practice location
639 Lafayette St
Nashville, TN 37203-4226
Mailing address
1325 W Main St
Suite a
Franklin, TN 37064-3786
Phone (615) 591-4750
Other providers in Nashville, TN
- Claire Elizabeth Bautch
- John T Bautista
- Baani Bawa
- Heather Bawcom
- Ashley Baxter
- Kelley Baxter
- Kerri Baxter
- Rosalyn Patrice Baxter
- Tammy Michelle Baxter
- Adriana Bay
All providers in Nashville, TN · Adult Health Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2009. 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.