Crystal Yolanda Bautista

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

13096H Issued in AZ

Practice address

21002 E Lark Dr
Queen Creek, AZ 85142-1627

Phone

(480) 338-3218

NPI assigned

Apr 7, 2025

Last updated

Apr 7, 2025By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1235923954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21002 E LARK DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421627",
            "telephone_number": "480-338-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21002 E LARK DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421627",
            "telephone_number": "480-338-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "CRYSTAL",
        "middle_name": "YOLANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "AZ",
            "license": "13096H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giovanna Flora Bartolone, PMHNP
• Iesha Barton
• Preston Battles, PHD
• Karen Batts, MS CCC-SLP
• Kris Kent Bauernsmith, RPH
• Aubrey Ann Bazzell
• BBLB Properties LLC (Preferred Care At Home south east valley Phoenix, AZ.)
• Beacon Wellness Center LLC (Beacon Wellness Center)
• Suzanne Beam, RN
• Alyssa Marie Beck, FNP-C

• Assisted Living Facility (Behavioral Disturbances) in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.