Individual provider Active NPI

Dana Gaye Bautista, RN.,MS., FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1376616540
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
232287 Issued in TX
Practice address
1200 Enclave Pkwy Ste 200
Houston, TX 77077-1733
Phone
(281) 870-1000
Fax
(281) 496-7588
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 232287 TX Primary

Addresses

Primary practice location

1200 Enclave Pkwy Ste 200
Houston, TX 77077-1733

Mailing address

1655 Kelliwood Oaks Dr
Katy, TX 77450-4387
Phone (281) 398-4780

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1376616540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 KELLIWOOD OAKS DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774504387",
            "telephone_number": "281-398-4780",
            "fax_number": "281-398-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ENCLAVE PKWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771733",
            "telephone_number": "281-870-1000",
            "fax_number": "281-496-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "DANA",
        "middle_name": "GAYE",
        "name_prefix": "Ms.",
        "credential": "RN.,MS., FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "232287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.