Samantha Lauren Baker, DNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209.028937 Issued in IL

Practice address

4580 Weaver Pkwy Ste 102
Warrenville, IL 60555-3864

Phone

(630) 839-9199

NPI assigned

Oct 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fulfill Health

  • Psychiatry Physician
  • Warrenville, IL
  • NPI 1619647039
  NPD (past)

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1508639816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 WEAVER PKWY STE 102",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553864",
            "telephone_number": "630-839-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 WEAVER PKWY STE 102",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553864",
            "telephone_number": "630-839-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SAMANTHA",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.028937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy P Baganz, OT
• Leanna Bahwell
• La Juan Baines, MSW,LSW
• Jennifer Bajzek
• Natoya Baker, RD, LDN
• Helen Baldoni, RN
• Elizabeth Bales, LCPC, CADC
• Valerie Ann Ball
• Alexandria Marti Barajas
• Aaron A Bare, MD

• Psychiatric/Mental Health Nurse Practitioner in Warrenville, IL
• Providers in Warrenville, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.