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SHANNON NICOLE BAKER FNP-BC NPI 1104412535


NPI Information

NPI: 1104412535
Provider Name: SHANNON NICOLE BAKER, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
102 MAIN ST
GREENFIELD, MA
ZIP 01301
Phone: (413) 325-8500
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Shannon Nicole Baker, FNP-BC is a family nurse practitioner in Greenfield, MA with 3 years of experience. Shannon Nicole Baker, FNP-BC NPI is 1104412535. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:2021

The provider's business location address is:

102 MAIN ST
GREENFIELD, MA
ZIP 01301-275
Phone: (413) 325-8500

The NPI 1104412535 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/20/2020 and was last updated on 10/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2163WC0200XRegistered NurseCritical Care MedicineRN2298153MASSACHUSETTSNo
3363LF0000XNurse PractitionerFamilyRN2298153MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.