Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Everett Vincent Baker, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1154746261

Mr. Everett Vincent Baker, NURSEPRACTITIONER is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2013, 13 years ago. Practices with Watauga Orthopaedics PLC, a 82-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
13
Licensed in
TN
In the registry since
2014
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Practice location Address checks out

2410 Susannah St
Johnson City, TN 37601-1748
Phone: (423) 282-9011
Fax: (423) 722-0291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 18364 (TN)

Record details

NPI number1154746261
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedFebruary 26, 2014
Last updated in NPPESDecember 17, 2019
Certification dateDecember 17, 2019
Mailing address2410 Susannah St, Johnson City, TN 37601-1748

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Watauga Orthopaedics Plc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Johnson City