SAMANTHA JANE BAKER


Address: 700 W Lincoln Trail Blvd, Radcliff, KY 40160-2604
Phone: 2703513192

SAMANTHA JANE BAKER (NPI# 1053896563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053896563
Entity Type Individual
Full Name SAMANTHA JANE BAKER
Credential APRN
Practice Address 700 W Lincoln Trail Blvd
Radcliff
KY 40160-2604
Practice Telephone 2703513192
Practice Fax Number 2703515499
Mailing Telephone 2703513192
Mailing Fax Number 2703515499
Enumeration Date 2018-10-01
Last Update Date 2018-10-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
1125296 KY Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 700 W LINCOLN TRAIL BLVD
City RADCLIFF
State KY
Zip Code 40160-2604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447258553 Jawed M Movania Internal Medicine 700 W Lincoln Trail Blvd, Radcliff, KY 40160-2604 2005-07-12
1740752450 Elyse Marie Hardesty Nurse Practitioner 700 W Lincoln Trail Blvd, Radcliff, KY 40160-2604 2018-12-19
1295158285 Carmen N. Painter Nurse Practitioner 700 W Lincoln Trail Blvd, Radcliff, KY 40160-2604 2014-01-27
1730420100 Rhianna K Riggs Nurse Practitioner 700 W Lincoln Trail Blvd, Radcliff, KY 40160-2604 2013-03-11
1154460467 Deloris M Jacobs Nurse Practitioner 700 W Lincoln Trail Blvd, Radcliff, KY 40160-2604 2007-02-05
1750356986 Lincoln Trail Medical Assoc., Pllc Internal Medicine 700 W Lincoln Trail Blvd, Radcliff, KY 40160-2604 2006-02-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487126298 Cumberland Family Medical Center, Inc. Clinic/Center 1080 S Logsdon Parkway, Radcliff, KY 40160 2018-12-19
1184082372 Marla Sims Pharmacist 102 Gateway Crossings, Radcliff, KY 40160 2016-02-03
1861860751 Positive Wave L.l.c Massage Therapist 955 N Wilson Rd, B, Radcliff, KY 40160 2015-09-09
1043686900 Commonwealth of Kentucky Skilled Nursing Facility 100 Veterans Drive, Radcliff, KY 40160 2015-08-14
1477982726 Amanda Schneider Occupational Therapist 645 Knox Blvd., Radcliff, KY 40160 2013-11-07
1407130776 Claire Phillips Counselor 1072 S. Dixie Blvd, Radcliff, KY 40160 2011-10-05
1235435736 Amanda Lacefield Counselor 295 W Lincoln Trail Blvd Ste D, Radcliff, KY 40160 2011-01-31
1457594491 Rehab Resource Occupational Therapist 111 N Woodland Dr Ste C, Radcliff, KY 40160 2009-04-07
1649421629 James K. Burke, Ph.d., P.s.c. Community/Behavioral Health 1460 B North Dixie, Radcliff, KY 40160 2008-10-08
1174675763 Doctors Pllc General Practice 111 N Woodland Drive, Radcliff, KY 40160 2007-01-17
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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1720384522 Ruth Gay Lawton Nurse Practitioner 1431 Hepburn Ave Apt 1, Louisville, KY 40204-1652 2011-01-27
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1710067848 Linda Ann Mcnamara Nurse Practitioner 4674 Ironbridge Dr, Lexington, KY 40515-5040 2006-10-16
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Competitor

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City RADCLIFF
Zip Code 40160

Improve Information

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Dataset Information

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.

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