Brandy Baker, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Newark, OH
NPI 1851990600 · NPPES record last updated Oct 22, 2020
Key facts
- NPI
- 1851990600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.0027884 (OH)
- Practice address
- 494 Yorkshire Dr
Newark, OH 43055-1522 - Phone
- (740) 405-2447
- NPI assigned
- Oct 22, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221024000358 | OH | Practitioner - Nurse Practitioner | 4486020062 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0027884 | OH | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0027884 | OH | Yes |
Addresses
Primary practice location
494 Yorkshire Dr
Newark, OH 43055-1522
Mailing address
494 Yorkshire Dr
Newark, OH 43055-1522
Phone (740) 405-2447
Other providers in Newark, OH
- Jonathan Kent Bafford
- Crea Lynn Bailey
- Ginger Marie Bailey
- Leann Bailey
- Georgia Bain
- Christian Ray Baker
- Samuel Frederick Baker
- Balanced Living Chiropractic and Wellness
- Troyonna D Baldy
- Colleen Renee Ball
All providers in Newark, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.