Katina Yvette Baldwin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

736912 Issued in TX

Practice address

3030 E 29TH St
Suite 111
Bryan, TX 77802-2757

Phone

(979) 774-4176

Fax

(979) 774-4180

NPI assigned

Feb 23, 2013

Last updated

Feb 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katina Yvette Carroll Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Health for All, Inc

  • Health Service Clinic/Center
  • Bryan, TX
  • NPI 1083730279
  NPD (past)

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

{
    "created_epoch": "1361577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1912247248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 E 29TH ST",
            "address_2": "SUITE 111",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022757",
            "telephone_number": "979-774-4176",
            "fax_number": "979-774-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 E 29TH ST",
            "address_2": "SUITE 111",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022757",
            "telephone_number": "979-774-4176",
            "fax_number": "979-774-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "KATINA",
        "middle_name": "YVETTE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-23",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "736912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATINA",
            "last_name": "CARROLL",
            "middle_name": "YVETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clorinda Bailey
• David Norman Bailey, D.C.
• Baker O & P Enterprises, Inc. (Baker Orthotics & Prosthetics)
• Taunyana Taniese Baker-Sanchez, MSN, RN, FNP
• Ronny D Baker
• Ballem Harmony LLC
• Ballew Therapy Services, LLC
• Lindsay Ballew
• Rashanda R Banks, APRN, PMHNP-BC
• Nathan Charles Barker, DO

• Family Nurse Practitioner in Bryan, TX
• Providers in Bryan, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.