Active NPI
Amanda Spayde-Baker
- Family Nurse Practitioner
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61190093
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLC
Practice addresses (Care Compare)
11120 NE 33Rd PL
Suite 202
Bellevue, WA 98004-1444
Phone (888) 637-9669
Hospital & facility affiliations
- Centerwell Home Health
- Assured Home Health
- Eden Home Health
- Sunshine Home Health Care
- Manito Home Health
- Prov Sacred HRT Med Ctr & Childs Hosp.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61190093 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Spine and Pain Medicine, PLLC | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Healwell Medical Washington PLLC | Current | Accepting new patients | |
| Rare Wellness | Current | Accepting new patients | |
| Seva Medical, PLLC | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Current | 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
- 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.
-
- Family Medicine Physician
- Bothell, WA
- NPI 1659897163
-
- Integrative Medicine Physician
- Spokane, WA
- NPI 1164148748
-
- Pain Medicine (Anesthesiology) Physician
- Spokane, WA
- NPI 1780965186
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Spokane Valley, WA
- NPI 1265789820
-
- Home Health Agency
- Spokane Valley, WA
- NPI 1588212641
-
- Home Health Agency
- Spokane, WA
- NPI 1770349474
-
- Home Health Agency
- Spokane, WA
- NPI 1821396284
-
- Home Health Agency
- Spokane Valley, WA
- NPI 1528298262
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.