Provider Demographics
NPI:1467405092
Name:BATISTA-BARON, ADA I (RN MSN CFNP)
Entity Type:Individual
Prefix:
First Name:ADA
Middle Name:I
Last Name:BATISTA-BARON
Suffix:
Gender:F
Credentials:RN MSN CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22696
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37422-2696
Mailing Address - Country:US
Mailing Address - Phone:423-499-5655
Mailing Address - Fax:423-499-8085
Practice Address - Street 1:5000 ALPHA LN
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-4054
Practice Address - Country:US
Practice Address - Phone:423-499-5655
Practice Address - Fax:423-499-8085
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000098064363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3909201Medicaid
TN4139801OtherBCBS OF TN
TN3909207Medicaid
TN4139801OtherBCBS OF TN
TN3909201Medicare PIN
TN3909207Medicare PIN