Natasha Brooke Bautista, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11012177 Issued in FL

Practice address

5221 Bentgrass Way
Bradenton, FL 34211-1703

Phone

(910) 920-6505

NPI assigned

Mar 18, 2021

Last updated

Jul 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Empath Home Health Home health agency, Fort Myers, FL, CCN 109786
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bautista Medical Group LLC

  • Primary Care Clinic/Center
  • Bradenton, FL
  • NPI 1467112599

  Family

  Medicare reassignment NPD
• University Chiropractic Center, Inc.

  • Adult Medicine Physician
  • University Park, FL
  • NPI 1265620595
  Medicare reassignment NPD
• My Home Doctor, LLC

  • Attendant Care Provider
  • Coral Gables, FL
  • NPI 1902099104
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• KB Health Solutions, LLC

  dba Empath Home Health

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1659675106
  Care Compare affiliation
• Sarasota County Public Hospital District

  dba Sarasota Memorial Hospital

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1174109409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 BENTGRASS WAY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342111703",
            "telephone_number": "910-920-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 BENTGRASS WAY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342111703",
            "telephone_number": "910-920-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "NATASHA",
        "middle_name": "BROOKE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Diane Baughman, LAT
• Kayla Baum
• Sabrina Baumberger, RD, LD
• Henry Bausback, O.D.
• Bautista Medical Group LLC
• Bay Area Foot & Ankle Inc
• Bay Area Physical Therapy LLC (Bay Area Physical Therapy)
• Bay Area Skin Cancer Surgery and Dermatology LLC
• Bay Pines Vamc
• Bayada Home Health Care, Inc.

• Family Nurse Practitioner in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.