Sarah Baker
Individual provider Active NPI Family Nurse Practitioner · Hermitage, TN
NPI 1679980635 · NPPES record last updated Nov 27, 2024
Key facts
- NPI
- 1679980635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 18871 (TN)
- Practice address
- 302 Old Lebanon Dirt Rd
Hermitage, TN 37076-2386 - Phone
- (615) 391-4545
- Fax
- (615) 391-4546
- NPI assigned
- Jul 22, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150407001007 | TN | Practitioner - Nurse Practitioner | 3375861164 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18871 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David a West | Current |
Accepting new patients |
Locations
5435 Edmondson Pike
Nashville, TN 37211
Phone (606) 324-0540
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18871 | TN | Yes |
Addresses
Primary practice location
302 Old Lebanon Dirt Rd
Hermitage, TN 37076-2386
Mailing address
302 Old Lebanon Dirt Rd
Hermitage, TN 37076-2386
Phone (615) 391-4545
Other practice location 1
1018 W Main St
Lebanon, TN 37087-3656
Phone (615) 391-4545
Other practice location 2
2041 Overhill Dr Ste 100
Nashville, TN 37215-3455
Phone (615) 391-4545
Other practice location 3
3500 N Mount Juliet Rd Ste 205
MT Juliet, TN 37122-3018
Phone (615) 391-4545
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q014851 | Medicaid | TN |
Other providers in Hermitage, TN
- Shayna Ba
- Jane A Bacon
- Roderick Bahner Jr.
- Andreina Isabella Baird Borja
- Hannah Callaway Baisley
- Klhee Bang
- Sunny Chandravadan Bant
- Brianna Barkey
- Leslie Barrack
- Bartley H Benson DDS Ms PC
All providers in Hermitage, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.