NPIMap

Organization Active NPI

Baba Healthcare

  • Primary Care Nurse Practitioner
  • W Melbourne, FL
National Provider Identifier
1609268614
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP 9179052 Issued in FL
Legal business name
BABA HEALTHCARE
Practice address
948 S Wickham Rd
Ste
W Melbourne, FL 32904-1647
Phone
(321) 956-7370
Fax
(321) 956-7873
NPI assigned
Feb 27, 2015
Last updated
Feb 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Mrs. Diane Carol Roberson
Title
Insurance Credentailing
Phone
(321) 956-7370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP 9179052 FL Primary

Addresses

Primary practice location

948 S Wickham Rd
Ste
W Melbourne, FL 32904-1647

Mailing address

948 S Wickham Rd
Ste 103
W Melbourne, FL 32904-1647
Phone (321) 956-7370

National Provider Directory

National Provider Directory
Tax ID family
Baba Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

948 S Wickham Rd
West Melbourne, FL 32904
Phone (321) 956-7370

948 S Wickham Rd
Ste 103
West Melbourne, FL 32904
Phone (321) 956-7370

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1609268614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 S WICKHAM RD",
            "address_2": "STE 103",
            "city": "W MELBOURNE",
            "state": "FL",
            "postal_code": "329041647",
            "telephone_number": "321-956-7370",
            "fax_number": "321-956-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 S WICKHAM RD",
            "address_2": "STE",
            "city": "W MELBOURNE",
            "state": "FL",
            "postal_code": "329041647",
            "telephone_number": "321-956-7370",
            "fax_number": "321-956-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "INSURANCE CREDENTAILING",
        "authorized_official_telephone_number": "321-956-7370",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP 9179052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.