Active NPI
Amy M Baker
- Student in an Organized Health Care Education/Training Program
- Portsmouth, VA
National Provider Identifier
1528627965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3640 High Street, Suite 2F Portsmouth Family Medicine
Portsmouth, VA 23707 - Phone
- (757) 397-6344
- NPI assigned
- Jun 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3640 High Street, Suite 2F Portsmouth Family Medicine
Portsmouth, VA 23707
Mailing address
3640 High Street, Suite 2F Portsmouth Family Medicine
Portsmouth, VA 23707
Phone (757) 397-6344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1528627965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 HIGH STREET, SUITE 2F PORTSMOUTH FAMILY MEDICINE",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23707",
"telephone_number": "757-397-6344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 HIGH STREET, SUITE 2F PORTSMOUTH FAMILY MEDICINE",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23707",
"telephone_number": "757-397-6344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "AMY",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.