MEDICARE: WINCHESTER INTEGRATIVE HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1174469399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINCHESTER INTEGRATIVE HEALTH PLLC

Provider Business Mailing Address
First Line	:	2371 YELLOWSTONE CT
Second Line	:
City	:	JOINT BASE LEWIS MCCHORD
State	:	WA
Zip	:	98433-1034
Country	:	US
Telephone Number	:	276-806-3226
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N LOUDOUN ST
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-7401
Country	:	US
Telephone Number	:	276-806-3226
Fax Number	:

Authorized Official
Title or Position	:	PMHNP
Name	:	MRS. CARRIE BAKER
Credential	:	APRN, DNP
Telephone Number	:	276-806-3226

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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