MARYLOU BAUTISTA (NPI# 1821233552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821233552 |
| Entity Type | Individual |
| Full Name | MARYLOU BAUTISTA |
| Credential | RN |
| Practice Address |
5001 N Piedras St El Paso TX 79930-4210 |
| Mailing Address |
7350 Rosas Way Canutillo TX 79835-6104 |
| Practice Telephone | 9155646100 |
| Mailing Telephone | 9158774881 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
579631 | TX | Nursing Service Providers |
| N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
579631 | TX | Nursing Service Providers |
| Y | 163WW0000X |
Registered Nurse Specialization: Wound Care |
579631 | TX | Nursing Service Providers |
| Street Address |
5001 N PIEDRAS ST |
| City | EL PASO |
| State | TX |
| Zip Code | 79930-4210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031248 | Gary Ryan | Obstetrics & Gynecology | 5001 N Piedras St, El Paso, TX 79930-4210 | 2005-05-23 |
| 1164039228 | Leticia Vanessa Enriquez | Social Worker | 5001 N Piedras St, El Paso, TX 79930-4210 | 2020-09-23 |
| 1881207603 | Stephanie Marissa Cardenas | Nurse Practitioner | 5001 N Piedras St, El Paso, TX 79930-4210 | 2020-08-31 |
| 1497365811 | Beri Jenyse Glover | Audiologist | 5001 N Piedras St, El Paso, TX 79930-4210 | 2020-08-01 |
| 1225646193 | Alyssa Kristine Baca | Dietitian, Registered | 5001 N Piedras St, El Paso, TX 79930-4210 | 2020-07-16 |
| 1023656303 | Jessica Denise Cabrera | Registered Nurse | 5001 N Piedras St, El Paso, TX 79930-4210 | 2019-12-17 |
| 1124677158 | Uju Cindy Okechukwu | Pharmacist | 5001 N Piedras St, El Paso, TX 79930-4210 | 2019-09-11 |
| 1699329508 | Laura Liang | Social Worker | 5001 N Piedras St, El Paso, TX 79930-4210 | 2019-07-29 |
| 1881151843 | Denise Gaytan | Occupational Therapist | 5001 N Piedras St, El Paso, TX 79930-4210 | 2019-02-26 |
| 1073079315 | Deborah Kate Crush | Psychologist | 5001 N Piedras St, El Paso, TX 79930-4210 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391947 | Bertha Alicia Carvallo | Foster Care Agency | 2725 Fillmore, El Paso, TX 79930 | 2018-09-26 |
| 1326445347 | Mojgan Kaveh-talley | Internal Medicine | 5100 North Piedras Street, El Paso, TX 79930 | 2014-11-20 |
| 1053683961 | Cpap Anywhere LLC | Durable Medical Equipment & Medical Supplies | 4625 Alabama St. Ste. B, El Paso, CA 79930 | 2012-02-08 |
| 1346552791 | Mountain Star Sleep Diagnostic, LLC | Clinical Medical Laboratory | 4625 Alambama, El Paso, TX 79930 | 2010-07-13 |
| 1467687293 | Amiilis Miranda Villalobos | Physical Therapist | 5001 N. Piedras Street, Va Healthcare System, El Paso, TX 79930 | 2009-05-22 |
| 1215058763 | Olanrewaju Bamidele Obisesan | Pharmacist | 5001 North Piedras, 116, El Paso, TX 79930 | 2007-04-03 |
| 1306947619 | Debra Motto | Internal Medicine | 5001 N. Piedras St, El Paso, TX 79930 | 2006-09-26 |
| 1023110467 | Teodoro Calabig Navarro | Urology | 5001 N.piedras St., El Pas, TX 79930 | 2006-09-05 |
| 1184669145 | Serenity Outpatient Services, Inc. | Clinic/Center | 4625 Alabama St, Suite C, El Paso, TX 79930 | 2006-06-16 |
| 1841278280 | Rebecca Mitchell | Psychologist | 5001 N. Piedras, El Paso Va, El Paso, TX 79930 | 2006-01-05 |
| Find all providers in zip 79930 | ||||
| Taxonomy Code | 163WW0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Wound Care |
| Definition to come... |
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|---|---|---|---|---|
| 1033710991 | Imayarze Limonta-cordero | Registered Nurse | 14119 Sandhill Crane Dr, Houston, TX 77044-4413 | 2020-11-05 |
| 1508463852 | Bio Energetic LLC | Registered Nurse | 4710 Vista Rd, Pasadena, TX 77505-2810 | 2020-10-08 |
| 1114548203 | Joni Curry Barone | Registered Nurse | 16236 County Road 4197, Lindale, TX 75771-6343 | 2020-04-30 |
| 1528692134 | Cluster Consult Pllc | Registered Nurse | 3502 Stirling St, Wichita Falls, TX 76310-1760 | 2020-02-24 |
| 1770054207 | Aaron Penny | Registered Nurse | 2414 Weatherby Dr, Mesquite, TX 75181-1060 | 2018-12-10 |
| 1831672062 | Lonestar Wound Care and Hyperbarics LLC | Registered Nurse | 6161 N State Highway 161 Ste 305, Irving, TX 75038-2220 | 2018-09-13 |
| 1174009690 | Blue Agave Solutions | Registered Nurse | 15825 Carlton Oaks Dr, Fort Worth, TX 76177-2162 | 2018-07-17 |
| 1497245732 | Elizabeth Ann Shelton | Registered Nurse | 15121 Saddle Ridge Cir, Terrell, TX 75160-1003 | 2018-05-11 |
| 1790289734 | Lloyd Oghogho | Registered Nurse | 17630 Manchester Point Ln, Richmond, TX 77407-2091 | 2018-03-23 |
| 1285047969 | Precision Wound Care Services, LLC | Registered Nurse | 10617 Winding Passage Way, Fort Worth, TX 76131-3991 | 2014-06-10 |
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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.