LISSETH CAROLINA BAUTISTA (NPI# 1922607480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922607480 |
| Entity Type | Individual |
| Full Name | LISSETH CAROLINA BAUTISTA |
| Practice Address |
25218 Spring Iris Ln Katy TX 77494-5580 |
| Practice Telephone | 8323483406 |
| Mailing Telephone | 8323483406 |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Street Address |
25218 SPRING IRIS LN |
| City | KATY |
| State | TX |
| Zip Code | 77494-5580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733397 | Edna Renee Phillips | Adult Companion | 3352 Jan Ct, Katy, TX 77493-1379 | 2020-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556689 | Angel's Place | Adult Companion | 909 Highland Dr, Kilgore, TX 75662-4040 | 2020-10-20 |
| 1396355483 | J Person Inc Dba Living Word Home Care Service | Adult Companion | 1202 Evans Rd Apt 1225, San Antonio, TX 78258-6969 | 2020-08-04 |
| 1841808771 | Kidz Plus Medical Clinic | Adult Companion | 8613 Martin Luther King Blvd, Houston, TX 77033-2307 | 2020-07-16 |
| 1679199806 | Tammy Swan | Adult Companion | 4606 Fm 1960 Rd W Ste 640, Houston, TX 77069-4600 | 2020-06-23 |
| 1942826318 | Lacinder Roseann King | Adult Companion | 1205 Switchgrass Ln, Crowley, TX 76036-4341 | 2020-06-22 |
| 1841815768 | Bridget Danielle Hill | Adult Companion | 2417 Castle Creek Dr, Little Elm, TX 75068-4887 | 2020-06-16 |
| 1811512528 | Marina Martin Del Campo | Adult Companion | 11030 Oasis Dr, El Paso, TX 79936-1023 | 2020-06-09 |
| 1710513239 | Suzanne F Moore | Adult Companion | 5801 Rayburn Dr, Fort Worth, TX 76133-3026 | 2020-03-16 |
| 1356972343 | Christopher E Graham | Adult Companion | 3006 Bee Caves Rd Ste A217, Austin, TX 78746-5849 | 2020-01-29 |
| 1679112452 | Alana Cook | Adult Companion | 4008 Louetta Rd Ste 456, Spring, TX 77388-4405 | 2019-12-27 |
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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.