Individual provider Active NPI

Isabella Bauters, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sudbury, MA
National Provider Identifier
1275919649
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2292098 Issued in MA
Practice address
323 Boston Post Rd Ste 4C
Sudbury, MA 01776-3022
Phone
(978) 443-6960
Fax
(978) 443-6502
NPI assigned
Aug 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2292098 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2292098 MA Primary

Addresses

Primary practice location

323 Boston Post Rd Ste 4C
Sudbury, MA 01776-3022

Mailing address

323 Boston Post Rd Ste 4C
Sudbury, MA 01776-3022
Phone (978) 443-6960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 15, 2017 through Feb 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2292098MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Isabella Mariano LLC Psychiatric/Mental Health Current Accepting new patients
South Bay Mental Health PastSince Oct 1, 2015 Accepting new patients

Locations

323 Boston Post Rd
Ste 4C
Sudbury, MA 01776
Phone (978) 261-7640

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1275919649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 BOSTON POST RD STE 4C",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763022",
            "telephone_number": "978-443-6960",
            "fax_number": "978-443-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 BOSTON POST RD STE 4C",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763022",
            "telephone_number": "978-443-6960",
            "fax_number": "978-443-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTERS",
        "first_name": "ISABELLA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2292098",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2292098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

Verify at the official NPI Registry.