Cynthia Alisa Bautista, PHD, APRN

Primary specialty

Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X

License

XXXXXXXX Issued in CT

Practice address

1177 Mill Plain Rd
Fairfield, CT 06824-3813

Phone

(203) 394-2542

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1891419974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 MILL PLAIN RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068243813",
            "telephone_number": "203-394-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 MILL PLAIN RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068243813",
            "telephone_number": "203-394-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "CYNTHIA",
        "middle_name": "ALISA",
        "credential": "PHD, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "CT",
            "license": "XXXXXXXX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Bartolone, DMD
• David Barton, DDS
• Julie A Barylski, LPTA
• Benson Charles Batchelder, AT
• Amanda Baum-Johnson
• Andrew Raymond Baxter
• Carol Baxter, M.S.W.
• Figen Ayse Baydur, DMD
• Joel J Beaman, DDS
• Amanda Bean, SLP

• Continuing Education/Staff Development Registered Nurse in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Continuing Education/Staff Development Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.