Michelle Hines Bautista Arnp Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MICHELLE HINES BAUTISTA ARNP INC

Doing business as

The Hormone and Wellness Center

Practice address

2507 Harrison Ave
Panama City, FL 32405-4424

Phone

(850) 215-4455

Fax

(850) 215-4492

NPI assigned

Dec 15, 2008

Last updated

Dec 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Hines Bautista, APRN

Title

Owner

Phone

(850) 215-4455

Specialties & licenses 1

Addresses

Other names 1

• The Hormone and Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Lavette Bautista, ARNP

  • Family Nurse Practitioner
  • Panama City, FL
  • NPI 1326072398
  Medicare reassignment NPD

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1881839124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 DAIRY FARM RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324043099",
            "telephone_number": "850-215-4445",
            "fax_number": "850-215-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054424",
            "telephone_number": "850-215-4455",
            "fax_number": "850-215-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE HINES BAUTISTA ARNP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "HINES BAUTISTA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-215-4455",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hormone and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Hormone and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael X Rohan MD PA
• Alecia Lee Michael, RBT
• Gordon L Michaels
• Jessica Michaelsen
• Christopher Stephen Michaelson, DO
• Mid-South Home Care Services, LLC (Gentiva Respiratory Services & HME)
• Midway Medical Clinic II
• Lorena Shannon Milani, CRNA
• Shelbi Milbourn, ARNP
• Milepro LLC

• Primary Care Clinic/Center in Panama City, FL
• Providers in Panama City, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.