AGALIA RENEA BAKER (NPI# 1821245069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821245069 |
| Entity Type | Individual |
| Full Name | AGALIA RENEA BAKER |
| Credential | APN |
| Practice Address |
350 Walleye Dr Russellville AR 72802-7282 |
| Practice Telephone | 4794982670 |
| Mailing Telephone | 4794982670 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A03093 ANP | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
350 WALLEYE DR |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72802-7282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316587850 | Friends of Freedom House Inc. | Counselor | 404 Lake Front Drive, Russellville, AR 72802 | 2020-01-13 |
| 1922527027 | Sarah Huey | Counselor | 1505 S. Oswego Ave., Russellville, AR 72802 | 2017-09-11 |
| 1437555315 | Laura Easter | Case Manager/Care Coordinator | 1505 S, Oswego Ave., Russellville, AR 72802 | 2014-11-05 |
| 1982005252 | Yariela Borras | Case Manager/Care Coordinator | 1415 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-05 |
| 1477953818 | Kelly Sutton | Case Manager/Care Coordinator | 1505 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-03 |
| 1891080909 | Tera Dacus | Counselor | 1505 S. Oswego Ave, Russellville, AR 72802 | 2011-06-16 |
| 1992034763 | Central Arkansas Surgical Center, LLC | Clinic/Center | 151 East Aspen Ln, Russellville, AR 72802 | 2009-12-08 |
| 1134302854 | Twin Rivers Respiratory Care, Inc | Durable Medical Equipment & Medical Supplies | 1400 S Knoxville Ave, Russellville, AR 72802 | 2007-12-17 |
| 1003945007 | Phyllis Wells | Case Manager/Care Coordinator | 1400 East 16th St, Russellville, AR 72802 | 2007-03-05 |
| 1609902295 | Debi C Day Damron Burns | Case Manager/Care Coordinator | 1402 East 16th St, Russellville, AR 72802 | 2007-02-26 |
| Find all providers in zip 72802 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104471911 | Lashawnda Lee | Nurse Practitioner | 60 Shelton Lane, Russellville, KY 42276 | 2019-08-08 |
| 1649731829 | Haley Shaleigh Knight | Nurse Practitioner | 15225 Highway 43 Ste I, Russellville, AL 35653-1969 | 2019-03-28 |
| 1427516418 | Hanna Helich Henderson | Nurse Practitioner | 1040 Beth Dr, Russellville, TN 37860-8985 | 2019-03-08 |
| 1669979530 | Robin Lenora Franke | Nurse Practitioner | 3127 W 2nd Ct Ste B, Russellville, AR 72801-4566 | 2018-04-09 |
| 1679024798 | Teresa Anne Distler | Nurse Practitioner | 12103 County Line Rd, Russellville, MO 65074-2814 | 2016-10-24 |
| 1487003364 | Robert Barnowsky | Nurse Practitioner | 101 James N Hovater Rd, Russellville, AL 35653-0626 | 2016-06-10 |
| 1457706012 | Sarah Baxley | Nurse Practitioner | 106 Weir Rd, Ste 4, Russellville, AR 72802-9445 | 2016-05-02 |
| 1720385545 | Robin Michelle Joslin | Nurse Practitioner | 1605 Coliseuam Drive Doc Bryan Building, Suite 119, Russellville, AR 72801 | 2011-02-14 |
| 1710116066 | Family Medical Clinic LLC | Nurse Practitioner | 1355 George Wallace Hwy, Russellville, AL 35654-3281 | 2009-07-08 |
| 1851473102 | Melanie Brianne Malone | Nurse Practitioner | 15225 Highway 43 Ste G, Russellville, AL 35653-1969 | 2006-10-19 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72802 |
Please comment or provide details below to improve the information on AGALIA RENEA 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.