Evelyn Bautista-Miller, L.M.S.W.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

070621-1 Issued in NY

Practice address

3250 Westchester Ave
Bronx, NY 10461-4500

Phone

(555) 555-5555

NPI assigned

Dec 18, 2008

Last updated

Jun 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1588800775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614500",
            "telephone_number": "555-555-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614500",
            "telephone_number": "555-555-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA-MILLER",
        "first_name": "EVELYN",
        "name_prefix": "Mrs.",
        "credential": "L.M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "070621-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip S. Bauman, RPH
• William Alan Bauman, M.D.
• Katherine Baumann, MD
• Clarence Oliver Baumgardner
• Debbie P. Bautista-Hussey, D.P.M.
• Alexandra Bautista
• Dorka M Bautista, B.A., M.A.
• Jasmin Bautista
• Maria Lourdes de Guzman Bautista, MD
• Mesalina Bautista

• Case Manager/Care Coordinator in Bronx, NY
• Providers in Bronx, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.