DEIDRA LYNN BAKER NP
NPI 1962508929
Nurse Practitioner - Obstetrics & Gynecology in Longview, TX

Active since September 16, 2006
804 MEDICAL CIRCLE, SUITE G, LONGVIEW, TX 75605(903) 234-8030(903) 234-8039 Get Directions Write a Review

NPPES record last updated: May 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deidra Lynn Baker Np NPPES

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

DEIDRA LYNN BAKER NP (NPI 1962508929) is an individual obstetrics & gynecology provider in Longview, Texas, licensed in Texas (06786) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1962508929
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameDEIDRA LYNN BAKERCredential: NP
Location Address804 MEDICAL CIRCLE, SUITE GLongview, TX 75605
Mailing Address804 Medical Circle, Suite GLongview, TX 75605 · (903) 234-8030 · Fax (903) 234-8039
Fax(903) 234-8039
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateMay 28, 2008
NPI 1962508929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License Licensed in TX · 06786
804 MEDICAL CIRCLE, Longview, TX 75605

Other Identifiers 2

Medicare PIN8J2941TX
Medicaid184537201TX

Other Providers at the Same Location NPPES

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

Orthopaedic Surgery (Sports Medicine)
804 MEDICAL CIRCLE, SUITE H
LONGVIEW, TX 75605

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 Deidra Baker's NPI number?

The NPI number for Deidra Baker is 1962508929. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Deidra Baker located?

Deidra Baker practices at 804 Medical Circle Suite G, Longview, TX 75605. The listed phone number is (903) 234-8030.

What is Deidra Baker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

When was this NPI record last updated?

The NPPES record for Deidra Baker was last updated on May 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.