NICOLE A BAKER (NPI# 1730661000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730661000 |
| Entity Type | Individual |
| Full Name | NICOLE A BAKER |
| Other Name | NICOLE A TRUDEAU |
| Credential | FNP |
| Practice Address |
828 State Route 11 Champlain NY 12919 |
| Mailing Address |
9 Carey Rd Queensbury NY 12804-7880 |
| Practice Telephone | 5182982691 |
| Practice Fax Number | 5182988241 |
| Mailing Telephone | 5187610300 |
| Mailing Fax Number | 5188242388 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2019-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F343557 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18 Daniel Rd, Derry, NH 030387309 | 6035527196 |
| 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 |
| 1013550482 | Nicole Lynne Baker | Nurse Practitioner | 1896 N Farm Road 89, Springfield, MO 65802-6672 | 2019-10-17 |
| 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 |
| Street Address |
828 STATE ROUTE 11 |
| City | CHAMPLAIN |
| State | NY |
| Zip Code | 12919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245285170 | Hudson Headwaters Health Network | Clinic/Center | 828 State Route 11, Champlain, NY 12919-4966 | 2006-05-22 |
| 1427531755 | Molly A Merkel | Physician Assistant | 828 State Route 11, Champlain, NY 12919-4966 | 2018-09-12 |
| 1255814844 | Dawn Marie Ashline | Nurse Practitioner | 828 State Route 11, Champlain, NY 12919-4966 | 2018-09-11 |
| 1326565524 | Emmalee Colby | Nurse Practitioner | 828 State Route 11, Champlain, NY 12919-4966 | 2017-08-28 |
| 1992156970 | Stephen Mark Winfield | Family Medicine | 828 State Route 11, Champlain, NY 12919-4966 | 2016-06-30 |
| 1023469319 | Aaron Esterson | Family Medicine | 828 State Route 11, Champlain, NY 12919-4966 | 2016-06-28 |
| 1881912418 | Samantha Yvonne Harris | Podiatrist | 828 State Route 11, Champlain, NY 12919-4966 | 2010-05-06 |
| 1538176508 | Pamela J Cook | Family Medicine | 828 State Route 11, Champlain, NY 12919 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144874603 | Tyler James King | Pharmacist | 887 Us-11, Champlain, NY 12919 | 2019-08-01 |
| 1851867782 | Courtney Elizabeth Shutts | Registered Nurse | 103 Rt 276, Champlain, NY 12919 | 2018-10-18 |
| 1659881555 | Kim Letourneau | Registered Nurse | 103 Route 276, Champlain, NY 12919 | 2017-10-05 |
| 1306157045 | John Boulton Southwick | Family Medicine | 76 Oak Street, Champlain, NY 12919 | 2010-06-28 |
| 1316262272 | Nganha Vo | Pharmacist | 868 Rt 11, Champlain, NY 12919 | 2010-04-05 |
| 1386976884 | Peter M Harrison | Pharmacist | 866 State Route 11, Champlain, NY 12919 | 2010-02-08 |
| 1881876670 | Carlinda Marie Hamilton | Pharmacist | 887 Route 11, Champlain, NY 12919 | 2007-12-04 |
| 1063493120 | William L Steinfeld | Dentist | 487 Route 11, Champlain, NY 12919 | 2005-11-07 |
| 1689661092 | Dorothea Burget Southwick | Physical Therapist | 34 Beeman Way, Champlain, NY 12919 | 2005-09-30 |
| 1104385368 | Christine O'brian | Pharmacist | 868 State Route 11, Champlain, NY 12919 | 2019-03-18 |
| Find all providers in zip 12919 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814844 | Dawn Marie Ashline | Nurse Practitioner | 828 State Route 11, Champlain, NY 12919-4966 | 2018-09-11 |
| 1326565524 | Emmalee Colby | Nurse Practitioner | 828 State Route 11, Champlain, NY 12919-4966 | 2017-08-28 |
| 1679725709 | Sarah L Howell | Nurse Practitioner | 481 State Route 11, Champlain, NY 12919-4819 | 2008-10-21 |
| 1679611057 | Marilyn P Mcclure | Nurse Practitioner | 481 Route 11, Champlain, NY 12919-4819 | 2007-02-01 |
| 1801987334 | Lori A Robinson | Nurse Practitioner | 481 Route 11, Champlain, NY 12919 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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| 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.