Individual provider Active NPI

Rebecca Baker, FNP

  • Family Nurse Practitioner
  • Alamo, TN
National Provider Identifier
1730418385
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000014515 Issued in TN
Practice address
58 S Bells St
Alamo, TN 38001-1700
Phone
(731) 696-5401
NPI assigned
Dec 10, 2009
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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 APN0000014515 TN Primary

Addresses

Primary practice location

58 S Bells St
Alamo, TN 38001-1700

Mailing address

58 S Bells St
Alamo, TN 38001-1700
Phone (731) 696-5401

Other names 1

  • Rebecca Woods Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100322000385 TN Practitioner - Nurse Practitioner 7517009509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crockett Medical Clinic IncGroup PAC ID 8921009812, 7 clinicians

Practice addresses (Care Compare)

58 S Bells St
Alamo, TN 38001-1700
Phone (731) 696-5401

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14515TNMDSocial Worker
APN0000014515TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crockett Medical Clinic Inc CurrentSince Aug 27, 2024 Accepting new patients
Independent Radiology Associates PLC PastSince Aug 27, 2024 Accepting new patients

Locations

58 S Bells St
Alamo, TN 38001
Phone (731) 696-5401

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1730418385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 S BELLS ST",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "380011700",
            "telephone_number": "731-696-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 S BELLS ST",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "380011700",
            "telephone_number": "731-696-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000014515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "WOODS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alamo, TN

Sources for this page

Verify at the official NPI Registry.