Lucie Bautista, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

MW 110 Issued in RI

Practice address

1 Randall Square
Suite 205
Providence, RI 02904

Phone

(401) 331-7178

Fax

(401) 331-6181

NPI assigned

May 23, 2008

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1306004619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RANDALL SQUARE",
            "address_2": "SUITE 205",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-331-7178",
            "fax_number": "401-331-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RANDALL SQUARE",
            "address_2": "SUITE 205",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-331-7178",
            "fax_number": "401-331-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "LUCIE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "RI",
            "license": "MW 110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamara Battle, MD
• Amy Battles-Borkowski, MSOT/L, CLT
• Anne Gnassi Bauman, M.D.
• Sara Baumgartel, LMHC
• Janice Therese Satajo Bautista, DPM
• Anne-Naomi Wolrich Baxter, NP
• Bay Tower Nursing Center
• Bayada Home Health Care, Inc.
• Bayberry Psychology & Consulting LLC (Backcountry Wellness)
• Jessica Baye, RD

• Advanced Practice Midwife in Providence, RI
• Providers in Providence, RI by specialty
• Advanced Practice Midwife in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.