Individual provider Active NPI

Amanda Spayde-Baker

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1760054845
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61190093 Issued in WA
Practice address
522 W Riverside Ave Ste N
Spokane, WA 99201-0581
Phone
(877) 694-8080
Fax
(877) 694-0380
NPI assigned
Jul 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 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 AP61190093 WA Primary

Addresses

Primary practice location

522 W Riverside Ave Ste N
Spokane, WA 99201-0581

Mailing address

PO Box 112
Spokane, WA 99210-0112
Phone (509) 464-6208

Other practice location 1

3124 S Regal St
Spokane, WA 99223-4704
Phone (509) 464-6208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20210727003646 WA Practitioner - Nurse Practitioner 6608279716 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seva Medical PLLCGroup PAC ID 0547621708, 28 clinicians

Practice addresses (Care Compare)

11120 NE 33Rd PL
Suite 202
Bellevue, WA 98004-1444
Phone (888) 637-9669

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Spokane Valley, WA, CCN 507021
  • Assured Home Health Home health agency, Spokane, WA, CCN 507089
  • Eden Home Health Home health agency, Spokane Valley, WA, CCN 507130
  • Sunshine Home Health Care Home health agency, Spokane, WA, CCN 507119
  • Manito Home Health Home health agency, Spokane, WA, CCN 507310
  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61190093WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Spine and Pain Medicine, PLLC CurrentSince Jan 8, 2024 Accepting new patients
Molina Healthcare of Washington, Inc Current Accepting new patients
Healwell Medical Washington PLLC CurrentSince Dec 1, 2024 Accepting new patients
Rare Wellness CurrentSince Jan 8, 2024 Accepting new patients
Seva Medical, PLLC CurrentSince Apr 1, 2025 Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Aug 16, 2021 Accepting new patients
Selkirk Interventional Pain Physicians PLLC Past Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

210 W Lacrosse Ave
Coeur D Alene, ID 83814
Phone (208) 664-2185

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

5901 N Lidgerwood St
Ste 218
Spokane, WA 99208
Phone (509) 464-6208

3124 S Regal St
Spokane, WA 99223
Phone (509) 464-6208

522 W Riverside Ave
Ste N
Spokane, WA 99201
Phone (509) 203-4653

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1760054845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992100112",
            "telephone_number": "509-464-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE STE N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010581",
            "telephone_number": "877-694-8080",
            "fax_number": "877-694-0380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3124 S Regal St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992234704",
            "country_code": "US",
            "telephone_number": "509-464-6208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAYDE-BAKER",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61190093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.