Individual provider Active NPI

Emlyn Halberg Baker, ARNP

  • Registered Nurse
  • Woodinville, WA
National Provider Identifier
1801971064
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00071991 Issued in WA
Practice address
17000 140TH Ave NE
Suite 102
Woodinville, WA 98072-9001
Phone
(425) 483-5437
Fax
(425) 488-4919
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00071991 WA Primary
Pediatric Nurse Practitioner 363LP0200X AP30001458 WA

Addresses

Primary practice location

17000 140TH Ave NE
Suite 102
Woodinville, WA 98072-9001

Mailing address

17000 140TH Ave NE
Suite 102
Woodinville, WA 98072-9001
Phone (425) 483-5437

Other identifiers 1

IdentifierTypeStateIssuer
7160179MedicaidWA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN00071991WAMDRegistered Nurse
AP30001458WAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woodinville Pediatrics PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1801971064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 140TH AVE NE",
            "address_2": "SUITE 102",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980729001",
            "telephone_number": "425-483-5437",
            "fax_number": "425-488-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 140TH AVE NE",
            "address_2": "SUITE 102",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980729001",
            "telephone_number": "425-483-5437",
            "fax_number": "425-488-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "EMLYN",
        "middle_name": "HALBERG",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00071991",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP30001458",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7160179",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.