Active NPI
Brittney Bautista
- Registered Nurse
- Brentwood, NY
National Provider Identifier
1457298440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- NY12773
- Practice address
- 400 Crooked Hill Rd
Brentwood, NY 11717-1039 - Phone
- (631) 231-3232
- NPI assigned
- Apr 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | NY12773 | NY | Primary |
Addresses
Primary practice location
400 Crooked Hill Rd
Brentwood, NY 11717-1039
Mailing address
96 Brunswick Rd
Ronkonkoma, NY 11779-1647
Phone (718) 600-1309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NY12773 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outreach Development Corperation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nursing Care Agency
- Brentwood, NY
- NPI 1922639178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1457298440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 BRUNSWICK RD",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117791647",
"telephone_number": "718-600-1309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CROOKED HILL RD",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117171039",
"telephone_number": "631-231-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUTISTA",
"first_name": "BRITTNEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-29",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "NY12773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.