JACKIELYN BAUTISTA
NPI 1265988513
Nursing Home Administrator in Ewa Beach, HI

Q: What is Jackielyn Bautista's NPI number?

The NPI number for Jackielyn Bautista is 1265988513. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Q: What is Jackielyn Bautista's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

Active since August 28, 2016

91-843 HANAKAHI ST, EWA BEACH, HI 96706(808) 256-4379 Get Directions Write a Review

NPPES record last updated: August 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jackielyn Bautista NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIELYN BAUTISTA (NPI 1265988513) is an individual nursing home administrator provider in Ewa Beach, Hawaii and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1265988513

Entity TypeIndividualFemale

Primary Taxonomy376G00000X

Provider Legal NameJACKIELYN BAUTISTA

Location Address91-843 HANAKAHI STEwa Beach, HI 96706

Mailing Address91-843 Hanakahi StEwa Beach, HI 96706-2861 · (808) 256-4379

Phone(808) 256-4379

Sole ProprietorYes

Enumeration DateAugust 28, 2016

✔ NPI 1265988513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Home AdministratorNursing Service Related Providers

Taxonomy Code376G00000X

Definition

An individual, often licensed by the state, who is responsible for the management of a nursing home.

91-843 HANAKAHI ST, Ewa Beach, HI 96706

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackielyn Bautista's NPI number?

The NPI number for Jackielyn Bautista is 1265988513. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Where is Jackielyn Bautista located?

Jackielyn Bautista practices at 91-843 Hanakahi St, Ewa Beach, HI 96706. The listed phone number is (808) 256-4379.

What is Jackielyn Bautista's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

When was this NPI record last updated?

The NPPES record for Jackielyn Bautista was last updated on August 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.