Maria Rita Teresa Bautista-Smith

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10191151 Issued in FL

Practice address

905 N Burton St
Plant City, FL 33563-3069

Phone

(813) 263-5635

NPI assigned

Oct 31, 2019

Last updated

Oct 31, 2019By the provider in NPPES

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ms_mbauti79@landmarkhealth-direct.org
• Direct secure messaging: msmith@landmarkhealth-direct.org

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1851935035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N BURTON ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633069",
            "telephone_number": "813-263-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N BURTON ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633069",
            "telephone_number": "813-263-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA-SMITH",
        "first_name": "MARIA",
        "middle_name": "RITA TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F10191151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A Bartlett, M.D.
• Doreen Estella Bascom
• Robert N. Baskin, M.D.
• Tara L. Batchelor, BCABA
• Jessica Marie Bauerle
• Bay Area Endocrinology P.a.
• Bay Central Pediatrics
• Baycare Health Systems
• Baycare Home Care, Inc. (A Place for Her)
• Baycare Medical Group Inc

• Family Nurse Practitioner in Plant City, FL
• Providers in Plant City, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.