Individual provider Active NPI

Julie M Hawks-Baugh, APRN, CNP

  • Nurse Practitioner
  • Guymon, OK
National Provider Identifier
1710020813
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0061081 Issued in OK
Practice address
1753 N Roosevelt St
Guymon, OK 73942-2763
Phone
(580) 338-7792
Fax
(580) 338-7797
NPI assigned
Feb 15, 2007
Last updated
Mar 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R0061081 OK Primary
Family Nurse Practitioner 363LF0000X 103872 MO
Family Nurse Practitioner 363LF0000X R0061081 OK

Addresses

Primary practice location

1753 N Roosevelt St
Guymon, OK 73942-2763

Mailing address

1753 N Roosevelt St
Guymon, OK 73942-2763
Phone (580) 338-7792

Other identifiers 2

IdentifierTypeStateIssuer
425380219MedicaidOK
425380219MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20090508000392 OK Practitioner - Nurse Practitioner 6608826946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

421 Medical Dr
Guymon, OK 73942-3640
Phone (580) 338-6515

520 Medical Dr
Guymon, OK 73942-4438
Phone (580) 338-6515

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0061081OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Texas County Authority CurrentSince Mar 21, 2008 Accepting new patients
Memorial Hospital of Texas County Authority CurrentSince Mar 21, 2008 Accepting new patients
Mercy Clinic Joplin LLC Past Accepting new patients
Panhandle Womens Center P L L C PastSince Mar 1, 2019 Accepting new patients
Sjmgroup Past Accepting new patients
Memorial Hospital of Texas County Authority Past Accepting new patients
St Johns Regional Medical Center Past Accepting new patients

Locations

1753 N Roosevelt St
Guymon, OK 73942
Phone (580) 338-2637

421 Medical Dr
Guymon, OK 73942
Phone (580) 338-3135

520 Medical Dr
Guymon, OK 73942
Phone (580) 338-3113

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1710020813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 N ROOSEVELT ST",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739422763",
            "telephone_number": "580-338-7792",
            "fax_number": "580-338-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 N ROOSEVELT ST",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739422763",
            "telephone_number": "580-338-7792",
            "fax_number": "580-338-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKS-BAUGH",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0061081",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "103872",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0061081",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425380219",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425380219",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guymon, OK

Sources for this page

Verify at the official NPI Registry.