Breck Baker (NPI# 1619411279, PAC ID# 6507135910) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1619411279 |
| PAC ID by PECOS | 6507135910 |
| Professional Enrollment ID | I20191113001938 |
| Full Name | Breck Baker |
| Organization Legal Name | SMA HEALTHCARE INC |
| Address |
200 San Sebastian Vw Suite 2102 St Augustine FL 32084-8695 |
| Phone Number | 8005394228 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0244226363 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 301 Justice Ln, Bunnell, FL 32110-4487 | 8005394228 | SMA HEALTHCARE INC |
| 200 San Sebastian Vw, Suite 2102, St Augustine, FL 32084-8695 | 8005394228 | SMA HEALTHCARE INC |
| Organization Legal Name | SMA HEALTHCARE INC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gena Penn | Nurse Practitioner | Sma Healthcare Inc | 1220 Willis Ave, Daytona Beach, FL 32114-2810 |
| Canisha Gillon | Nurse Practitioner | Sma Healthcare Inc | 301 Justice Ln, Bunnell, FL 32110-4487 |
| Tananarieve P Brown | Nurse Practitioner | Sma Healthcare Inc | 1220 Willis Ave, Daytona Beach, FL 32114-2810 |
| Lisa L Schmidt | Nurse Practitioner | Sma Healthcare Inc | 200 San Sebastian Vw, Suite 2102, St Augustine, FL 32084-8695 |
| Marie Chantal Joassaint | Nurse Practitioner | Sma Healthcare Inc | 301 Justice Ln, Bunnell, FL 32110-4487 |
| Heather Lynn Leonardy | Nurse Practitioner | Sma Healthcare Inc | 200 San Sebastian Vw, Suite 2102, St Augustine, FL 32084-8695 |
| Theodore F Matejka | Nurse Practitioner | Sma Healthcare Inc | 1220 Willis Ave, Daytona Beach, FL 32114-2810 |
| Zuzana Segev | Nurse Practitioner | Sma Healthcare Inc | 301 Justice Ln, Bunnell, FL 32110-4487 |
| James L Fenley Jr. | Addiction Medicine | Sma Healthcare Inc | 1220 Willis Ave, Daytona Beach, FL 32114-2810 |
| Cynthia L Briere | Clinical Social Worker | Sma Healthcare Inc | 301 Justice Ln, Bunnell, FL 32110-4487 |
| Street Address |
200 SAN SEBASTIAN VW SUITE 2102 |
| City | ST AUGUSTINE |
| State | FL |
| Zip | 32084-8695 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivek Manikal | Infectious Disease | Florida Department of Health | 200 San Sebastian Vw, Suite 1322, Saint Augustine, FL 32084-8695 |
| Dawn C Allicock | Pediatric Medicine | Florida Department of Health | 200 San Sebastian Vw, Suite 1322, Saint Augustine, FL 32084-8695 |
| Lisa L Schmidt | Nurse Practitioner | Sma Healthcare Inc | 200 San Sebastian Vw, Suite 2102, St Augustine, FL 32084-8695 |
| Heather Lynn Leonardy | Nurse Practitioner | Sma Healthcare Inc | 200 San Sebastian Vw, Suite 2102, St Augustine, FL 32084-8695 |
| Kathleen A Smotherman | Clinical Social Worker | Sma Healthcare Inc | 200 San Sebastian Vw, Suite 2102, St Augustine, FL 32084-8695 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brendan Maney Miner | Diagnostic Radiology | Radadvantage A Professional Corporation | 510 14th St, St Augustine, FL 32084-1507 |
| James A Berwick | Clinical Social Worker | 505 22nd St, Saint Augustine, FL 32084-1798 | |
| Thomas James Quigg | Chiropractic | 2 /2 May St, Saint Augustine, FL 32084-2126 | |
| Shannon J Coyle | Nurse Practitioner | Minute Clinic LLC | 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603 |
| Gloria M Sierra | Nurse Practitioner | Minute Clinic LLC | 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603 |
| Patricia L Barrozo | Nurse Practitioner | Minute Clinic LLC | 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603 |
| Jacqueline A Seguin | Nurse Practitioner | Minute Clinic LLC | 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603 |
| Kristy L Beams | Nurse Practitioner | Minute Clinic LLC | 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603 |
| Shana Carey | Nurse Practitioner | Minute Clinic LLC | 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603 |
| Paul L Martin | Psychologist, Clinical | 2200 N Ponce De Leon Blvd, Suite 3, St Augustine, FL 32084-2650 | |
| Find all physicians in zip 32084 | |||
| City | ST AUGUSTINE |
| Zip Code | 32084 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ST AUGUSTINE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.