MISS KIMBERLY BAUTISTA (NPI# 1528425600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528425600 |
| Entity Type | Individual |
| Full Name | MISS KIMBERLY BAUTISTA |
| Credential | DPT |
| Practice Address |
64-974 Mamalahoa Hwy Ste 103 Kamuela HI 96743-7334 |
| Mailing Address |
Po Box 6810 Kamuela HI 96743-6810 |
| Practice Telephone | 8088871371 |
| Mailing Telephone | 8088871371 |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
4152 | HI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
34171 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984409 | Kimberly Bautista | Early Intervention Provider Agency | 535 E 119th St, New York, NY 10035-4433 | 2020-08-30 |
| 1902326119 | Kimberly Yessenia Bautista | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2017-06-20 |
| 1730339086 | Kimberly Anne Bautista | Registered Nurse | 2050 Fairmont Dr, San Leandro, CA 94578-1001 | 2008-09-23 |
| Street Address |
64-974 MAMALAHOA HWY STE 103 |
| City | KAMUELA |
| State | HI |
| Zip Code | 96743-7334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346262888 | John Allen Warneke | Physical Therapist | 64-974 Mamalahoa Hwy Ste 103, Kamuela, HI 96743 | 2006-07-24 |
| 1770063216 | Jennifer Leeann Banks | Physical Therapist | 64-974 Mamalahoa Hwy Ste 103, Kamuela, HI 96743-7334 | 2018-08-15 |
| 1235671397 | Jennifer Taylor | Physical Therapist | 64-974 Mamalahoa Hwy Ste 103, Kamuela, HI 96743-7334 | 2016-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386281848 | Yvonne Peggy Giron | Massage Therapist | 64-5193 Kinohou Street, Suite 106, Kamuela, HI 96743 | 2019-12-04 |
| 1396209706 | Renee Leiokamalia Wulzen | Massage Therapist | Ironwood Center Suite 106, 64-5193 Kinohou Street, Kamuela, HI 96743 | 2019-01-30 |
| 1205390358 | Kaiser Foundation Health Plan, Inc. | Clinic/Center | 67-1185 Hawaii Belt Road, Waimea, HI 96743 | 2019-01-23 |
| 1093299752 | Welch Family Chiropractic | Chiropractor | 65-1227a Opelo Rd., 103, Kamuela, HI 96743 | 2018-09-19 |
| 1922585272 | Hamakua Health Center, Inc. | Clinic/Center | 65-1230 Mamalahoa Highway, Suite C 13/14, Kamuela, HI 96743 | 2018-07-19 |
| 1184119554 | Elizabeth Kehau Kealoha | Registered Nurse | 64-778 Paelialanui Street, Kamuela, HI 96743 | 2018-06-27 |
| 1851889000 | Juliana Koffman | Behavioral Analyst | 5-1279 Kawaihae Road, Suite 201, Waimea, HI 96743 | 2018-04-24 |
| 1235646365 | Margaret A Horwatt | Acupuncturist | 65-1235 Opelo Rd #2, Kamuela, HI 96743 | 2018-01-10 |
| 1770099574 | Acupuncture Solutions LLC | Acupuncturist | 64-5263 Hoohoa St, Kamuela, HI 96743 | 2017-12-17 |
| 1477064798 | Patty Ann Kaholokula | Behavioral Analyst | 65-1279 Kawaihae Rd, # 210, Kamuela, HI 96743 | 2017-10-12 |
| Find all providers in zip 96743 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770063216 | Jennifer Leeann Banks | Physical Therapist | 64-974 Mamalahoa Hwy Ste 103, Kamuela, HI 96743-7334 | 2018-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881180875 | Lin Fitness Company, LLC. | Physical Therapist | 5653 Pia St, Honolulu, HI 96821-2026 | 2018-07-02 |
| 1639679426 | Ludmila Bautista | Physical Therapist | 94-229 Waipahu Depot St Ste 304, Waipahu, HI 96797-3033 | 2018-02-18 |
| 1902229735 | Wahiawa Physical Therapy LLC | Physical Therapist | 302 California Ave Ste 211, Wahiawa, HI 96786-1841 | 2014-01-30 |
| 1518398239 | Alayna Rachelle Pierce | Physical Therapist | 1827 Wells St # 2, Wailuku, HI 96793-2370 | 2013-12-05 |
| 1376986877 | Island Physio LLC | Physical Therapist | 47-471 Kialua St, Kaneohe, HI 96744-4848 | 2013-04-15 |
| 1124344197 | Derek M Atta | Physical Therapist | 99-115 Aiea Heights Dr Ste 253, Aiea, HI 96701-3975 | 2010-04-15 |
| 1629308622 | Mildred H Cooke | Physical Therapist | 28 Puuhina St, Hilo, HI 96720-2025 | 2010-01-13 |
| 1649487828 | Traceylin Sales Crouch | Physical Therapist | 1615 Kalaepaa Dr, Honolulu, HI 96819-3010 | 2007-05-17 |
| 1548317019 | Cheryl Claypoole | Physical Therapist | 4480c Hookui Rd, Kilauea, HI 96754-5302 | 2007-01-05 |
| 1932269297 | Kenneth Takeshi Nakasone | Physical Therapist | 914a Coolidge St, Honolulu, HI 96826-3031 | 2006-12-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.