Individual provider Active NPI

Hollie Elizabeth Baker, PA-C

  • Physician Assistant
  • Morehead City, NC
National Provider Identifier
1629646294
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11295 Issued in NC
Practice address
4370 Arendell St Ste a
Morehead City, NC 28557-2800
Phone
(252) 222-0204
Fax
(252) 222-0433
NPI assigned
Jun 11, 2021
Last updated
Jun 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-11295 NC Primary

Addresses

Primary practice location

4370 Arendell St Ste a
Morehead City, NC 28557-2800

Mailing address

3714 Guardian Ave Ste E
Morehead City, NC 28557-2975
Phone (252) 247-2101

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hollie.baker.1@9526.direct.athenahealth.com Carteret Surgical Associates, PA

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-11295NCMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: hollie.baker.1@9526.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1629646294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 GUARDIAN AVE STE E",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572975",
            "telephone_number": "252-247-2101",
            "fax_number": "252-247-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 ARENDELL ST STE A",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572800",
            "telephone_number": "252-222-0204",
            "fax_number": "252-222-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "HOLLIE",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hollie.baker.1@9526.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Carteret Surgical Associates, PA",
            "address_1": "4370 Arendell St Ste A",
            "city": "Morehead City",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285572800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.