Nicole M Baxter
Nurse Practitioner (Psychiatric/Mental Health)

Address: 2187 Sw Main St Ste 101, Portland, OR 97205-1123
Phone: 5039870807

Nicole M Baxter (NPI# 1881033439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1881033439
Entity Type Individual
Full Name Nicole M Baxter
Credential ARNP
Gender Female
Practice Address 2187 Sw Main St Ste 101
Portland
OR 97205-1123
Practice Telephone 5039870807
Practice Fax Number 7247885640
Mailing Address 8107 N Hurst Ave
Portland
OR 97203-5820
Mailing Telephone 5039870807
Mailing Fax Number 7247885640
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2013-06-17
Last Update Date 2020-08-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers 201341028RN OR
No 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 201350111NP OR
Yes 363LP0808X Nurse Practitioner · Psychiatric/Mental Health Physician Assistants & Advanced Practice Nursing Providers 202006403NP-PP OR

Other Provider Identifier

State Identifier Issuer Type Code
WA 1881033439 MEDICAID

Secondary Practice Locations

Address Telephone Number Fax Number
401 Sw Belair Dr, Clatskanie, OR 970167415 5037285088 5037285100

Providers with the same name

NPI Name Taxonomy Address Enumeration
1215480579 Nicole Baxter Social Worker 3117 S May St, Chicago, IL 60608-6402 2016-08-03
1407149990 Nicole Baxter Counselor 5965 S 900 E, Salt Lake City, UT 84121-1720 2011-05-17

Physician Overview

NPI 1881033439
PAC ID by PECOS 3274776018
Professional Enrollment ID I20130827000635
Full Name Nicole M Baxter
Organization Legal Name YAKIMA VALLEY FARM WORKERS CLINIC
Phone Number 5037285088
Gender F
Medical School UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year 2013
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 4385541986
Number of Group Practice Members 115
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
381320 COLUMBIA MEMORIAL HOSPITAL
381303 PROVIDENCE SEASIDE HOSPITAL

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154920148 Hardcore Happy LLC Nurse Practitioner 740 Ne 116th Ct, Portland, OR 97220-2223 2020-10-20
1457967325 Megan L Langworthy Nurse Practitioner 1914 Se 46th Ave, Portland, OR 97215-3148 2020-09-16
1104446681 Skycloud Psychiatry LLC Nurse Practitioner 106 South West Woods St, Portland, OR 97201 2020-04-24
1730712290 Lucy Anne Bloedon Nurse Practitioner 4020 Sw Iowa St, Portland, OR 97221-3423 2020-02-12
1346802733 Compass Psychiatric Wellness LLC Nurse Practitioner 4300 Ne Fremont St Ste 260, Portland, OR 97213-1100 2019-07-05
1548721871 Cooke Therapy Pllc Nurse Practitioner 1125 Se Madison St Ste 102, Portland, OR 97214-3600 2019-03-28
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1467969220 Nw Mind-body Wellness, LLC Nurse Practitioner 16986 Nw Lynch Ln, Portland, OR 97229-1221 2018-01-02
1811441348 Anthony Hoy Nurse Practitioner 5562 Se Pine St, Portland, OR 97215-1276 2016-08-12
1700241254 Jacqueline J Cole Nurse Practitioner 5228 Ne Hoyt St Ste 300, Portland, OR 97213-3055 2015-12-29
Find all providers in PORTLAND

Office Location

Street Address 2187 SW MAIN ST STE 101
City PORTLAND
State OR
Zip Code 97205-1123

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407321136 Annie Grummel, LLC Nurse Practitioner 2187 Sw Main St Ste 101, Portland, OR 97205-1123 2018-10-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952906778 Synaptic Integrative Care LLC Naturopath 1020 Sw Taylor St. Ste 650, Portland, OR 97205 2020-12-01
1871026062 Leila Soltani Dentist 430 Sw 13th Ave Apt 2010, Portland, OR 97205 2017-04-05
1114374949 Elizabeth Alire Counselor 1411 Sw Morrison St., Portland, OR 97205 2016-05-23
1508237462 Pacific Psychology and Comprehensive Health Center Community/Behavioral Health 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 2015-10-16
1265803761 Alana Branson Naturopath 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 2015-10-10
1720458011 Kate Ohene Counselor 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 2015-09-30
1285004671 Christina Nannette Mendoza Counselor 1411 Sw Morriston Street, 310, Portland, OR 97205 2015-09-29
1083095947 Patricia Burton Registered Nurse 1312 Sw Washinghton, Portland, OR 97205 2015-06-16
1649663071 Huey Holistic Clinic/Center 1221 Sw Yamill, Suite 300, Portland, OR 97205 2015-03-10
1376952796 Joan Kendall Ayala Counselor 610 Sw Alder St Ste 915, Portland, OR 97205 2014-08-11
Find all providers in zip 97205

Competitor

Search similar providers

City PORTLAND
Zip Code 97205

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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.