Liwayway Bautista, REGISTERED NURSE

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

23396 Issued in NV

Practice address

10315 Professional Cir
Reno, NV 89521-5861

Phone

(775) 815-5321

NPI assigned

Jan 4, 2024

Last updated

Jan 4, 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

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": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1376313049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10315 PROFESSIONAL CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215861",
            "telephone_number": "775-815-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 PROFESSIONAL CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215861",
            "telephone_number": "775-815-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "LIWAYWAY",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NV",
            "license": "23396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leslie Baumgartel, CSW-INTERN
• Jesson Baumgartner
• Brenda Bautista
• Danacamile Concha Bautista
• Joanne Marie Bautista, MD
• Arushi Baveja, MBBS, MPH
• Andre Baxter
• Heather Amanda Baxter, MD
• Kelly Lynn Baxter, RN
• Kimberly Diane Baxter, RN, APN

• Community Health Registered Nurse in Reno, NV
• Providers in Reno, NV by specialty
• Community Health Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.