SHANTELLE CALIBOSO BAUTISTA (NPI# 1578126157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578126157 |
| Entity Type | Individual |
| Full Name | SHANTELLE CALIBOSO BAUTISTA |
| Practice Address |
Wheeler Army Field Wahiawa HI 96786 |
| Mailing Address |
94-954 Lumihoahu St Waipahu HI 96797-3955 |
| Practice Telephone | 8083059000 |
| Mailing Telephone | 8086812514 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
82732 | HI | Nursing Service Providers |
| Street Address |
WHEELER ARMY FIELD |
| City | WAHIAWA |
| State | HI |
| Zip Code | 96786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801421870 | Macy Tiatti Coleman | Student in an Organized Health Care Education/Training Program | 683 Waianae Ave, Schofield Barracks, HI 96786 | 2020-03-10 |
| 1063078467 | Jacqueline Tommila | Registered Nurse | Wai'anae & Ayres Ave, Wahiawa, HI 96786 | 2019-05-13 |
| 1679136246 | Dorinda A Ventura | Licensed Practical Nurse | 1 Wheeler Aaf Wahiawa, Hi 96786, Wahiawa, HI 96786 | 2019-04-18 |
| 1659853950 | Archnaben Patel | Physician Assistant | 3399 Glennan St, Wahiawa, HI 96786 | 2018-09-04 |
| 1245720564 | Zi Xiang Liu | Physician Assistant | 3399 Glennan Street, Schofield Barracks, HI 96786 | 2018-05-11 |
| 1417445503 | Kristine Wong | Occupational Therapist | 1034 Kilani Ave Ste 109, Wahiawa, HI 96786 | 2018-04-25 |
| 1467964528 | Hope Treatment Services | Counselor | 360 California Avenue, Wahiawa, HI 96786 | 2017-10-30 |
| 1881103919 | Testiny K J Mailo | Assistant Behavior Analyst | 1046 Eho Eho Avenue, #326, Wahiawa, HI 96786 | 2017-09-20 |
| 1982121059 | Salvador Mireles Thorn | Physician Assistant | U.S. Army Health Clinic Sb, Building 683, Schofield Barracks, HI 96786 | 2017-08-29 |
| 1467975219 | Suwimon Thammarossopon | Physician Assistant | 683 Wahiawa, Us Army Health Clinic Schofield Barracks, Wahiawa, HI 96786 | 2017-07-24 |
| Find all providers in zip 96786 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023640869 | Renee Marie Zavala | Registered Nurse | 654 Kaiemi St, Kailua, HI 96734-2015 | 2020-02-10 |
| 1932755915 | Carol J Macdonald | Registered Nurse | 91-2034 Kamakana St, Ewa Beach, HI 96706-6412 | 2019-08-14 |
| 1689220238 | Sheillamari Africa Prepuse | Registered Nurse | 86-218 Leihoku St, Waianae, HI 96792-2957 | 2019-08-09 |
| 1164087581 | Janina M Springer | Registered Nurse | 45-828 Anoi Rd, Kaneohe, HI 96744-3405 | 2019-05-01 |
| 1225692155 | Madison Burk | Registered Nurse | 1066 Pua Aloalo Rd, Kailua, HI 96734-4815 | 2019-04-25 |
| 1336507573 | Melissa Walker | Registered Nurse | 1345 S Beretania St, Suite 101, Honolulu, HI 96814-1802 | 2016-02-02 |
| 1619223617 | Transitional Care Partners of Hawaii, Inc. | Registered Nurse | 560 N Nimitz Hwy, Suite 204, Honolulu, HI 96817-5330 | 2012-07-27 |
| 1801065586 | Don Sudara Dona | Registered Nurse | 95-198 Alaalaa Loop, Mililani, HI 96789-1202 | 2008-02-26 |
| 1508844861 | Elton Edward Johnson Jr. | Registered Nurse | 400 Sand Island Pkwy, Uscg, Honolulu, HI 96819-4326 | 2006-01-06 |
| 1528602984 | Carrie P Yamamoto | Registered Nurse | 480 Central Ave, Jbphh, HI 96860-4908 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
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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.