Layra Bautista

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

503 Grasslands Rd Ste 101
Valhalla, NY 10595-1520

Phone

(914) 593-0593

Fax

(914) 593-0594

NPI assigned

Feb 19, 2019

Reactivated

May 25, 2021

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Los Ninos Private Services

  • Behavior Analyst
  • New York, NY
  • NPI 1760078471
  NPD (past)
• Wceed, Inc.

  • Early Intervention Provider Agency
  • Valhalla, NY
  • NPI 1174775019
  NPD (past)

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1750847323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 MAIN ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 GRASSLANDS RD STE 101",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951520",
            "telephone_number": "914-593-0593",
            "fax_number": "914-593-0594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "466 Main St",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108016431",
            "country_code": "US",
            "telephone_number": "212-222-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "LAYRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "deactivation_date": "2019-05-28",
        "reactivation_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Basta, MD
• Jesse Bastiaens, M.D.
• Jennifer Anne Bates, FNP-BC
• Andrew Bauerschmidt, M.D.
• Tamara Marie Baum, M.D.
• Nana Adwoa Bazsy, MD
• Cameron Beaudreault, MD
• Samuel Aaron Beber
• Rayssa Minella Becerra Orjuela, MD
• Ellie Becker, LMSW

• Case Manager/Care Coordinator in Valhalla, NY
• Providers in Valhalla, 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 3, 2021; 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.