Irish Bautista, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP140719 Issued in TX

Practice address

9721 Broadway St Ste 111
Pearland, TX 77584-8170

Phone

(713) 436-3637

NPI assigned

Sep 15, 2019

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Silverlake Pediatric Clinic, PA

  • Pediatrics Physician
  • Pearland, TX
  • NPI 1578781027
  NPD

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

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568505600000",
    "number": "1720638463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 TRAVIS ST APT 4048",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770063579",
            "telephone_number": "956-624-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9721 BROADWAY ST STE 111",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848170",
            "telephone_number": "713-436-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "IRISH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-15",
        "last_updated": "2019-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janette Knight Bateman, MD
• Janeen Gabaldon Bates, MD
• Joia Batiste
• Rodney Lawrence Baty, R.PH.
• Rachelle P Baum, P.T.
• Baxmart LLC
• Bay Area Breastfeeding and Education, LLC
• Bay Area Home Health, LLC
• Baylor College of Medicine, Department of Orthopedic Surgery
• Beam

• Family Nurse Practitioner in Pearland, TX
• Providers in Pearland, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2019; 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.