LORRAINE BAUTISTA (NPI# 1235525668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235525668 |
| Entity Type | Individual |
| Full Name | LORRAINE BAUTISTA |
| Credential | M.D. |
| Practice Address |
4800 Alberta Ave El Paso TX 79924 |
| Mailing Address |
1701 Edward Dr Edinburg TX 78539-8008 |
| Practice Telephone | 9152155557 |
| Practice Fax Number | 9152155729 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | TX | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134500317 | Lorraine Bautista | Dentist | 24179 State Highway 249, Tomball, TX 77375-8298 | 2015-06-14 |
| Street Address |
4800 ALBERTA AVE |
| City | EL PASO |
| State | TX |
| Zip Code | 79924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528063021 | David C. Gough | Internal Medicine | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2005-06-20 |
| 1336759950 | Ahmad Abu Amr | Surgery | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2020-08-07 |
| 1184240319 | Asif Hasan Siddiqui | Surgery | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2020-06-23 |
| 1548885353 | Servando Rivera | Student in an Organized Health Care Education/Training Program | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2020-06-08 |
| 1689297723 | Kahtan Fadah | Student in an Organized Health Care Education/Training Program | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2020-05-23 |
| 1528681905 | Adora Ogoke | Student in an Organized Health Care Education/Training Program | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2020-05-20 |
| 1306468012 | M Ammar Kalas | Student in an Organized Health Care Education/Training Program | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2020-05-15 |
| 1417579335 | Shristi Nepal | Student in an Organized Health Care Education/Training Program | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2020-05-13 |
| 1003445883 | Madison Ryanne Craft | Student in an Organized Health Care Education/Training Program | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2020-04-03 |
| 1588219737 | Zainab Jaber Al Lawati | Physical Medicine & Rehabilitation | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2019-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761331 | Cep America LLC | Emergency Medicine | 4669 Cohen Ave, El Paso, TX 79924 | 2019-10-09 |
| 1962906735 | Clara Nohely Velasquez-morales | Pharmacist | 9839 Kenworthy St., Pharmacy, El Paso, TX 79924 | 2018-03-19 |
| 1861846305 | Attea Catherine Costanzo | Speech-Language Pathologist | 5132 Prince Edward, El Paso, TX 79924 | 2016-04-21 |
| 1962807669 | Sam's East, Inc. | Technician/Technologist | 9498 Gateway North, El Paso, TX 79924 | 2014-10-24 |
| 1700287034 | San Lorenzo Adult Provider Services and Pediatrics LLC | In Home Supportive Care | 5625 Hemmingway, El Paso, TX 79924 | 2014-09-05 |
| 1790194561 | Amir A Yavari | Dentist | 10039 Dyer Street, El Paso, TX 79924 | 2014-08-06 |
| 1366781676 | Mary L Halliburton | Dietitian, Registered | 4741 Joel Drive, Apt 33, El Paso, TX 79924 | 2013-02-06 |
| 1902144330 | El Paso Viva Dental | Dentist | 9584 Dyer St., Suite B, El Paso, TX 79924 | 2013-01-18 |
| 1053682823 | Florentino Ray Penilla | Pharmacist | 10090 Rushing Road, El Paso, TX 79924 | 2012-01-25 |
| 1518296284 | Jeffrey Charles Gorbett | Pharmacist | 10780 Kenworthy, El Paso, TX 79924 | 2009-12-09 |
| Find all providers in zip 79924 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909600 | Maria Ethel Aguirre Flores | Student in an Organized Health Care Education/Training Program | 4801 Alberta Av., El Paso, TX 79905 | 2020-07-17 |
| 1417575226 | Sharon Joseph | Student in an Organized Health Care Education/Training Program | 4011 Alabama St Apt 4307, El Paso, TX 79930-2426 | 2020-07-08 |
| 1508482761 | Jonathan M Kittle | Student in an Organized Health Care Education/Training Program | 5005 N Pideras Street, El Paso, TX 79920-5001 | 2020-06-23 |
| 1588287551 | Aditi Singh | Student in an Organized Health Care Education/Training Program | 945 S Mesa Hills Dr Apt 1811, El Paso, TX 79912-5189 | 2020-05-25 |
| 1093337917 | Amar Rajiv Patel | Student in an Organized Health Care Education/Training Program | 4800 Alberta Ave # Msc41007, El Paso, TX 79905-2709 | 2020-05-13 |
| 1306475363 | David Gustafson | Student in an Organized Health Care Education/Training Program | 900 Myrtle Ave Apt 2309, El Paso, TX 79901-1673 | 2020-04-02 |
| 1164050472 | Mitalie Gupta | Student in an Organized Health Care Education/Training Program | 6044 Gateway Blvd E Fl 9, El Paso, TX 79905-2023 | 2020-03-31 |
| 1336777853 | Madison Nicholle Fringer | Student in an Organized Health Care Education/Training Program | 1700 N Oregon St Ste 570, El Paso, TX 79902-3587 | 2020-03-30 |
| 1326676842 | Michael Davis | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W Ste 100, El Paso, TX 79925-7701 | 2020-03-30 |
| 1316578560 | Roxann Alexis Lerma | Student in an Organized Health Care Education/Training Program | 415 S Mesa Hills Dr Apt 1086, El Paso, TX 79912-5476 | 2020-01-27 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.