Individual ProviderTamberlynn BakerNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address125 Baptist Way Ste 5c, Pensacola, FL 32503-2274(448) 227-6950PECOS EnrollmentBased on the most recent information from CMS, provider Tamberlynn Baker is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:57 AM.Profile DetailsProvider ID1003859794Provider TypeIndividualFull NameBaker, TamberlynnTitleMrs.CredentialFNPGenderFemaleSole ProprietorNoEnumeration Date6/13/2006Last Updated1/4/2024Contact InformationPractice LocationPractice Address125 Baptist Way Ste 5c, Pensacola, FL 32503-2274Phone(448) 227-6950FaxUnlisted FaxMailing LocationMailing AddressPO Box 732892, Dallas, TX 75373-7567PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11001412FloridaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR859828MississippiCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense1-069010AlabamaProvider IdentifiersIDDescriptionIssuerID00121164DescriptionMedicaidIssuerUnlistedMississippi