Individual provider Active NPI

Alfonso Bautista Jr., MEDICAL INTERPRETER

  • Interpreter
  • Kirkland, WA
National Provider Identifier
1942816947
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
InterpreterTaxonomy code 171R00000X
License
MC11531 Issued in WA
Practice address
11227 NE 109TH LN Apt L107
Kirkland, WA 98033-5029
Phone
(206) 396-7466
NPI assigned
Sep 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interpreter 171R00000X MC11531 WA Primary

Addresses

Primary practice location

11227 NE 109TH LN Apt L107
Kirkland, WA 98033-5029

Mailing address

11227 NE 109TH LN Apt L107
Kirkland, WA 98033-5029
Phone (206) 396-7466

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

LicenseStateTypeSpecialty
MC11531WAMDInterpreter

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1942816947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11227 NE 109TH LN APT L107",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335029",
            "telephone_number": "206-396-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11227 NE 109TH LN APT L107",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335029",
            "telephone_number": "206-396-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "ALFONSO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MEDICAL INTERPRETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "WA",
            "license": "MC11531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.