HANNAH BAKER DO
NPI 1053171611
Student in an Organized Health Care Education/Training Program in Bristol, TN

Active since March 20, 2024PECOS Enrolled
208 MEDICAL PARK BLVD, BRISTOL, TN 37620(423) 989-4050 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hannah Baker Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HANNAH BAKER DO (NPI 1053171611) is an individual student in an organized health care education/training program in Bristol, Tennessee and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053171611
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHANNAH BAKERCredential: DO
Location Address208 MEDICAL PARK BLVDBristol, TN 37620-7343
Mailing Address208 Medical Park BlvdBristol, TN 37620-7343 · (423) 989-4050
Sole ProprietorNo
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
NPI 1053171611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
208 MEDICAL PARK BLVD, Bristol, TN 37620

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Hannah Baker Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Family Medicine
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Pharmacist
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Family Medicine
208 MEDICAL PARK BLVD
BRISTOL, TN 37620

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hannah Baker's NPI number?

The NPI number for Hannah Baker is 1053171611. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Hannah Baker located?

Hannah Baker practices at 208 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 989-4050.

What is Hannah Baker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Hannah Baker enrolled in Medicare?

Yes. Hannah Baker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hannah Baker was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.