Amanda Janis Baker, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024184971 Issued in VA

Practice address

1714 E Hundred Rd Ste 104
Chester, VA 23836-3310

Phone

(804) 681-0556

Fax

(804) 410-4619

NPI assigned

Jul 10, 2022

Last updated

Aug 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tricities Gastroenterology PCGroup PAC ID 1052305422, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020
• CJW Medical Center Hospital, Richmond, VA, CCN 490112

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tri-Cities Gastroenterology, PC

  • Gastroenterology Physician
  • Chester, VA
  • NPI 1538128277

  Single Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chippenham & Johnston-Willis Hospitals Inc

  dba CJW Medical Center

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1598708513
  Care Compare affiliation
• Columbia/HCA John Randolph, Inc.

  dba TriCities Hospital

  • General Acute Care Hospital
  • Hopewell, VA
  • NPI 1285671248
  Care Compare affiliation

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

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1669106332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 E HUNDRED RD STE 104",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238363310",
            "telephone_number": "804-681-0556",
            "fax_number": "804-410-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 E HUNDRED RD STE 104",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238363310",
            "telephone_number": "804-681-0556",
            "fax_number": "804-410-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "AMANDA",
        "middle_name": "JANIS",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-10",
        "last_updated": "2022-08-30",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024184971",
            "primary": true
        },
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "VA",
            "license": "0001288819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Authentic Counseling & Care, PLLC
• Axis Alliance Network LLC
• Boshra Z Ayad, PT
• Rebecca S Ayers, DPT
• Melanie A Bach, D.D.S.
• Kailyn Marie Baker
• Tonya Jenettia Balthrop, L.P.N.
• David William Barber, O.D.
• Katharine Barksdale
• Svetlana Barrett, NP

• Nurse Practitioner in Chester, VA
• Providers in Chester, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.