L. Judith Bautista

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

2785 Issued in AK

Legal business name

L. JUDITH BAUTISTA

Practice address

341 W Tudor Rd
Ste 101
Anchorage, AK 99503-6639

Phone

(907) 563-1777

Fax

(907) 561-7464

NPI assigned

Nov 18, 2008

Last updated

Nov 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lina Judith Bautista, M.D.

Title

President

Phone

(907) 622-6244

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1538314513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241889",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995241889",
            "telephone_number": "907-563-1777",
            "fax_number": "907-561-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 W TUDOR RD",
            "address_2": "STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036639",
            "telephone_number": "907-563-1777",
            "fax_number": "907-561-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. JUDITH BAUTISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "LINA",
        "authorized_official_middle_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-622-6244",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "AK",
            "license": "2785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Hospital in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Psychiatric Hospital in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.