Harvey H Baker, ARNP
Individual provider Active NPI Family Nurse Practitioner · Sisseton, SD
NPI 1689672248 · NPPES record last updated Sep 5, 2012
Key facts
- NPI
- 1689672248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0060 (AK)
- Practice address
- 100 Lake Traverse Dr
Sisseton, SD 57262-7046 - Phone
- (605) 698-7606
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0060 | AK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Past | Accepting new patients | |
| Sjmgroup | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0060 | AK | Yes |
Addresses
Primary practice location
100 Lake Traverse Dr
Sisseton, SD 57262-7046
Mailing address
100 Lake Traverse Dr
Sisseton, SD 57262-7046
Phone (605) 698-7606
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100254960E | Medicaid | KS |
Other providers in Sisseton, SD
- Munir Ahmed
- Brianna K Alverson
- Candace Adair Anderson
- Stellar Anonye Achampong
- Danielle L Ardizzone
- Julia Barse
- Cesar R. Bartell
- Jacqueline F Bartlett
- Clarice Elvira Bearhill
- Larry Eugene Becker
All providers in Sisseton, SD · Family Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.