DR. LINA JUDITH BAUTISTA (NPI# 1982625596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982625596 |
| Entity Type | Individual |
| Full Name | DR. LINA JUDITH BAUTISTA |
| Credential | MD |
| Practice Address |
2800 Providence Dr Anchorage AK 99508-4623 |
| Practice Telephone | 9072697152 |
| Practice Fax Number | 9072697251 |
| Mailing Telephone | 9072697152 |
| Mailing Fax Number | 9072697251 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
2785 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD02182 | 05 |
| Street Address |
2800 PROVIDENCE DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639339286 | Julian David Smith | Physician Assistant | 2800 Providence Dr, Anchorage, AK 99508-4623 | 2008-06-16 |
| 1154540086 | Robin Lisa Hobbs | Social Worker | 2800 Providence Dr, Anchorage, AK 99508-4623 | 2007-04-25 |
| 1811027519 | State of Alaska | Psychiatry & Neurology | 2800 Providence Dr, Anchorage, AK 99508-4623 | 2007-03-06 |
| 1467535559 | Mary Hogg Shannon | Physician Assistant | 2800 Providence Dr, Anchorage, AK 99508-4623 | 2006-10-23 |
| 1831287895 | Dale Leroy Thorn | Physician Assistant | 2800 Providence Dr, Anchorage, AK 99508-4623 | 2006-10-11 |
| 1093738528 | William Allen Worrall | Psychiatry & Neurology | 2800 Providence Dr, Anchorage, AK 99508-4623 | 2006-07-25 |
| 1649291261 | Kahnaz Khari | Psychiatry & Neurology | 2800 Providence Dr, Anchorage, AK 99508-4623 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988549 | Daniel J Mardones Md Inc | Psychiatry & Neurology | 2523 Debarr Road, Anchorage, AK 99508-2948 | 2020-10-05 |
| 1639496243 | Kelton Manor Thomas | Psychiatry & Neurology | 5855 Zeamer Ave, Anchorage, AK 99506 | 2010-04-23 |
| 1275665085 | Phillip Neuberger | Psychiatry & Neurology | 3201 C St, Suite 302, Anchorage, AK 99503-3917 | 2007-03-09 |
| 1033263439 | Michael D Robertson | Psychiatry & Neurology | 1709 Bragaw St, Suite A, Anchorage, AK 99508-3436 | 2007-01-22 |
| 1780793448 | Alina Nicole Schneider | Psychiatry & Neurology | 1650 South Bragaw Street, Anchorage, AK 99508 | 2006-08-29 |
| 1194705475 | Daniel Mardones | Psychiatry & Neurology | 2530 Debarr Rd, Anchorage, AK 99508-2948 | 2006-01-20 |
| 1770583932 | Claudia Berenson | Psychiatry & Neurology | 4001 Dale St Ste 101, Anchorage, AK 99508-5444 | 2005-07-28 |
| 1285055731 | Baisi Psychiatric Services LLC | Psychiatry & Neurology | 2530 Debarr Rd, Anchorage, AK 99508-2948 | 2013-12-31 |
| 1013296755 | Frontier Health Services, P.C. | Psychiatry & Neurology | 4241 B Street, Suite 305, Anchorage, AK 99503 | 2011-08-12 |
| 1114117272 | Phillip W Neuberger Md LLC | Psychiatry & Neurology | 3201 C St, Suite 302, Anchorage, AK 99503-3961 | 2007-07-25 |
| Find all providers in ANCHORAGE | ||||
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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.