Active NPI
Rachel Bautista
- School Registered Nurse
- Harvey, LA
National Provider Identifier
1750008660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 205725
- Practice address
- 501 Manhattan Blvd
Harvey, LA 70058-4443 - Phone
- (504) 349-7673
- NPI assigned
- Oct 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 205725 | LA | Primary |
Addresses
Primary practice location
501 Manhattan Blvd
Harvey, LA 70058-4443
Mailing address
501 Manhattan Blvd
Harvey, LA 70058-4443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1701033 | Medicaid | LA |
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 |
|---|---|---|---|
| 205725 | LA | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1750008660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MANHATTAN BLVD",
"city": "HARVEY",
"state": "LA",
"postal_code": "700584443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MANHATTAN BLVD",
"city": "HARVEY",
"state": "LA",
"postal_code": "700584443",
"telephone_number": "504-349-7673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUTISTA",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-21",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "LA",
"license": "205725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1701033",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harvey, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.