Healthcare Provider Details

I. General information

NPI: 1821914441
Provider Name (Legal Business Name): RACHEL BAKER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16221 SAINT VINCENT WAY
LITTLE ROCK AR
72223-9072
US

IV. Provider business mailing address

16221 SAINT VINCENT WAY
LITTLE ROCK AR
72223-9072
US

V. Phone/Fax

Practice location:
  • Phone: 501-552-8150
  • Fax: 501-552-8199
Mailing address:
  • Phone: 501-552-8150
  • Fax: 501-552-8199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number125275
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: