Individual provider Active NPI

Heidi A Baker, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1700967304
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN000671 Issued in NV
Practice address
2831 Business Park CT # a
Las Vegas, NV 89128
Phone
(702) 844-4848
Fax
(702) 844-4849
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN000671 NV Primary

Addresses

Primary practice location

2831 Business Park CT # a
Las Vegas, NV 89128

Mailing address

2370 Corporate Cir Ste 300
Henderson, NV 89074-7760
Phone (702) 910-3950

Other practice location 1

272 NW Medical Loop Ste B
Roseburg, OR 97471-5545
Phone (541) 537-8007

Other practice location 2

3369 NE Stephens St Ste 100
Roseburg, OR 97470-1200
Phone (541) 677-8900

Other practice location 3

2525 12th St SE Ste 260
Salem, OR 97302-2282
Phone (971) 701-9058

Other practice location 4

5255 E Williams Cir Ste 3000
Tucson, AZ 85711-7407
Phone (520) 392-8400

Other identifiers 1

IdentifierTypeStateIssuer
1700967304MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040525000570 NV Practitioner - Nurse Practitioner 0547241820 Reassigns benefits to 1 organization
I20201229002973 OR Practitioner - Nurse Practitioner 0547241820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bacchus Wakefield Kahan PCGroup PAC ID 5991069643, 20 clinicians

Practice addresses (Care Compare)

100 N Green Valley Pkwy
Suite 239
Henderson, NV 89074-7704
Phone (702) 844-4841

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Las Vegas, NV, CCN 297115
  • Desert View Hospital Hospital, Pahrump, NV, CCN 291311
  • Mesa View Regional Hospital Hospital, Mesquite, NV, CCN 291307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN000671NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bacchus PC Nurse Practitioner CurrentSince Jul 30, 2018 Accepting new patients

Locations

5255 E Williams Cir
Ste 2020
Tucson, AZ 85711
Phone (520) 392-8400

6296 E Grant Rd
Ste 140
Tucson, AZ 85712
Phone (520) 298-3321

100 N Green Valley Pkwy
Ste 239
Henderson, NV 89074
Phone (702) 844-4841

2370 Corporate Cir
Ste 300
Henderson, NV 89074
Phone (702) 910-3950

4275 Burnham Ave
Ste 320
Las Vegas, NV 89119
Phone (702) 735-8000

2831 Business Park Ct
#A
Las Vegas, NV 89128
Phone (702) 844-4848

360 S Lola Ln
Bldg B
Pahrump, NV 89048
Phone (775) 505-0810

272 NW Medical Loop
Ste B
Roseburg, OR 97471
Phone (541) 229-7051

Interoperability endpoints

  • Direct secure messaging: heidi.baker.1@17520.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1700967304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950",
            "fax_number": "702-778-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 BUSINESS PARK CT # A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-844-4848",
            "fax_number": "702-844-4849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "272 NW Medical Loop Ste B",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974715545",
            "country_code": "US",
            "telephone_number": "541-537-8007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3369 NE Stephens St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974701200",
            "country_code": "US",
            "telephone_number": "541-677-8900",
            "fax_number": "541-677-8903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 12th St SE Ste 260",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973022282",
            "country_code": "US",
            "telephone_number": "971-701-9058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5255 E Williams Cir Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857117407",
            "country_code": "US",
            "telephone_number": "520-392-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "HEIDI",
        "middle_name": "A",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN000671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700967304",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.