NICOLE LYNNE BAKER (NPI# 1013550482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013550482 |
| Entity Type | Individual |
| Full Name | NICOLE LYNNE BAKER |
| Other Name | NICOLE LYNNE GALLANT |
| Credential | NP-C |
| Practice Address |
1896 N Farm Road 89 Springfield MO 65802-6672 |
| Mailing Address |
Po Box 125 Willard MO 65781-0125 |
| Practice Telephone | 4178394595 |
| Mailing Telephone | 4178394595 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2019039808 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | NP LICENSE | 2019039808 | 01 |
| MO | RN LICENSE | 2009028096 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014912 | Nicole Angela Baker | Psychologist | 25 Reed St Ste 202, Asheville, NC 28803-2770 | 2020-05-12 |
| 1447886387 | Nicole Latrice Baker | Behavior Technician | 1870 Gableridge Turn Apt 302, Woodbridge, VA 22191-1981 | 2020-03-22 |
| 1972136851 | Nicole Marie Baker | Physical Therapist | 9180 Pinecroft Dr, Shenandoah, TX 77380-2794 | 2020-02-19 |
| 1043843493 | Nicole S. Baker | Counselor | 406 Deleware Ave Suite 4, Bethlehem, PA 18017 | 2020-02-13 |
| 1932522067 | Nicole Baker | Pharmacist | 787 Winding River Dr, Williamston, MI 48895-9024 | 2014-01-24 |
| 1801217740 | Nicole Michele Baker | Dental Hygienist | 955 Country Club Rd Ste C, Gering, NE 69341-1754 | 2013-12-19 |
| 1326486879 | Nicole Renee-hauser Baker | Marriage & Family Therapist | 907 Main St Nw, Elk River, MN 55330-1508 | 2013-06-06 |
| 1083946594 | Nicole Lynn Baker | Pharmacist | 2450 Foothill Blvd, Rock Springs, WY 82901-5612 | 2010-02-08 |
| 1831393487 | Nicole Lynn Baker | Respiratory Therapist, Registered | 206 Lawndale Dr, Winston Salem, NC 27104-3030 | 2007-06-14 |
| 1750474425 | Nicole Baker | Day Training/Habilitation Specialist | 2440 E State Road 10, Knox, IN 46534-8695 | 2006-10-02 |
| Street Address |
1896 N FARM ROAD 89 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65802-6672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
| 1962968867 | Chad Michael Linck | Specialist/Technologist | 2125 N Glenstone Ave, Springfield, MO 65802 | 2019-02-15 |
| 1790254647 | Meds To Live By | Pharmacist | 1134 N. Scarlett Way, Springfield, MO 65802 | 2018-11-21 |
| 1568945103 | Ficom | Non-Pharmacy Dispensing Site | 1308 North Glenstone Avenue, Springfield, MO 65802 | 2018-09-10 |
| 1982194775 | Karla Caballero | Marriage & Family Therapist | 8627 Montant Fort Way, 145, Sprinfield, MO 65802 | 2018-05-16 |
| 1780191809 | Tiffany Chawntay Coryell | Pharmacist | 1134 North Scarlett Way, Springfield, MO 65802 | 2018-01-10 |
| 1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
| 1407389596 | Medical Mile Imaging | Radiology | 3905 E Windsmore Dr, Springfield, MO 65802 | 2017-04-06 |
| 1346619103 | Jill A Knight | Occupational Therapist | 1601 E. Pythian, Green Valley State School, Springfield, MO 65802 | 2015-09-22 |
| 1447653258 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3720 E Sunshine St, Springfield, MO 65802 | 2014-10-07 |
| Find all providers in zip 65802 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072823 | Rachel Westbrook | Nurse Practitioner | 1417 Burning Bush Ct, Springfield, IL 62712-7529 | 2020-10-27 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1275146268 | Courtney Wilbern | Nurse Practitioner | 1200 W Centre St, Springfield, IL 62704-5812 | 2020-08-28 |
| 1588276240 | Andrew Ronald Mouser | Nurse Practitioner | 607 Prospect Rd, Springfield, PA 19064-2819 | 2020-08-23 |
| 1821609082 | William Coleman Bryant | Nurse Practitioner | 5552 W Longleaf Dr, Springfield, MO 65802-7834 | 2020-08-12 |
| 1386254399 | Ashley Lynn Murray | Nurse Practitioner | 2443 E Greenwood St, Springfield, MO 65804-3907 | 2020-08-04 |
| 1679182281 | Erica Gail Hunt | Nurse Practitioner | 2813 Haverford Rd, Springfield, IL 62704-4267 | 2020-07-29 |
| 1063020063 | Gage Azeez | Nurse Practitioner | 46 Timber Ln, Springfield, MA 01119-2828 | 2020-07-16 |
| 1033737440 | Janne L Nicholson | Nurse Practitioner | 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 | 2020-07-13 |
| 1922623156 | Amanda E Hildebrand | Nurse Practitioner | 3370 Carman Ave, Springfield, IL 62703-4642 | 2020-06-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65802 |
Please comment or provide details below to improve the information on NICOLE LYNNE BAKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.