Active NPI
Alexis Marie Bautista, LD
- Registered Dietitian
- Hurricane, WV
National Provider Identifier
1124924659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1909
- Practice address
- 1400 Hospital Dr
Hurricane, WV 25526-9202 - Phone
- (304) 757-1700
- NPI assigned
- Oct 20, 2026
- Last updated
- Oct 20, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1909 | WV | Primary |
Addresses
Primary practice location
1400 Hospital Dr
Hurricane, WV 25526-9202
Mailing address
501 Morris St
Charleston, WV 25301-1326
Other practice location 1
501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432
Other practice location 2
3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432
Other practice location 3
800 Pennsylvania Ave
Charleston, WV 25302-3351
Phone (304) 388-5432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792454400000",
"number": "1124924659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MORRIS ST",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 HOSPITAL DR",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255269202",
"telephone_number": "304-757-1700"
}
],
"practiceLocations": [
{
"address_1": "501 Morris St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011326",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3200 MacCorkle Ave SE",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041227",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253023351",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUTISTA",
"first_name": "ALEXIS",
"middle_name": "MARIE",
"credential": "LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-20",
"last_updated": "2026-10-20",
"certification_date": "2026-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WV",
"license": "1909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurricane, WV
- Bryanna Lea Baker-Meckley, LICSW
- Rachel Elizabeth Baldrige-Bush, LPC
- Jennifer Ann Ball, MSCCCSLP
- Mary C Ballard, OTR/L
- Crystal Lynn Ballengee, PTA
- Ulas Darda Bayraktar, MD
- Beaconlight Counseling LLC
- Rebecca Elaine Beaver, LPC, AADC
- Beckley Dermatology Inc. (Dermatology Associates & Surgery Center)
- Andrea Elaine Beeson, M.S.,CF-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.