Individual provider Active NPI

Anne Melinda Barker, FNP-BC

  • Family Nurse Practitioner
  • Baxter, TN
National Provider Identifier
1720236771
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000013608 Issued in TN
Practice address
319 Broad St
Baxter, TN 38544-5117
Phone
(931) 858-2116
Fax
(931) 858-2117
NPI assigned
Sep 3, 2008
Last updated
Jul 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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 APN0000013608 TN Primary

Addresses

Primary practice location

319 Broad St
Baxter, TN 38544-5117

Mailing address

319 Broad St
PO Box 175
Baxter, TN 38544-5117
Phone (931) 858-2116

Other identifiers 1

IdentifierTypeStateIssuer
1507279MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000013608TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Development Center, Inc. Current Accepting new patients
Putnam County Rural Health Clinic, Inc Past Accepting new patients

Locations

509 N Cedar Ave
Cookeville, TN 38501
Phone (931) 520-8435

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, 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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1720236771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 BROAD ST",
            "address_2": "PO BOX 175",
            "city": "BAXTER",
            "state": "TN",
            "postal_code": "385445117",
            "telephone_number": "931-858-2116",
            "fax_number": "931-858-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 BROAD ST",
            "city": "BAXTER",
            "state": "TN",
            "postal_code": "385445117",
            "telephone_number": "931-858-2116",
            "fax_number": "931-858-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "ANNE",
        "middle_name": "MELINDA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000013608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507279",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.