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MRS. KATHLEEN JO BAUTISTA CRNP
NPI 1558483867
Nurse Practitioner - Psychiatric/Mental Health in Cambridge, MD

Active since April 06, 2007
813-1 CHESAPEAKE DRIVE, CAMBRIDGE, MD 21613(410) 221-2266(410) 221-2878 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Kathleen Jo Bautista Crnp NPPES

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

MRS. KATHLEEN JO BAUTISTA CRNP (NPI 1558483867) is an individual psychiatric/mental health provider in Cambridge, Maryland, licensed in Maryland (R069915) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1558483867
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. KATHLEEN JO BAUTISTACredential: CRNP
Location Address813-1 CHESAPEAKE DRIVECambridge, MD 21613-9401
Mailing Address813-1 Chesapeake DriveCambridge, MD 21613-9401 · (410) 221-2266 · Fax (410) 221-2878
Phone(410) 221-2266
Fax(410) 221-2878
Sole ProprietorNo
Enumeration DateApril 6, 2007
Last NPPES UpdateMay 24, 2012
✔ NPI 1558483867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R069915
813-1 CHESAPEAKE DRIVE, Cambridge, MD 21613
Open in Google Maps ↗

Other Identifiers 5

Other499188MD · Vo-mha
Medicaid609550004MD
Medicaid479302100MD
Medicaid609550001MD
Medicaid609550002MD

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MEGHAN JUNE CLEARY MSW, LCSW-C
Social Worker (Clinical)
813-1 CHESAPEAKE DRIVE
CAMBRIDGE, MD 21613
Dorchester County (410) 221-2266
MRS. MARY JUNE MCGINNIS MSW, LCSW-C
Social Worker (Clinical)
813-1 CHESAPEAKE DRIVE
CAMBRIDGE, MD 21613
Dorchester County (410) 221-2266
WENDY HARE SIMPSON LCSW-C
Social Worker (Clinical)
813-1 CHESAPEAKE DRIVE
CAMBRIDGE, MD 21613
Dorchester County (410) 221-2266
DR. DONNA LENORE BEITEL M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
813-1 CHESAPEAKE DRIVE
CAMBRIDGE, MD 21613
Dorchester County (410) 221-2266
MARSHY HOPE FAMILY SERVICES, LLC
Social Worker (Clinical)
813-1 CHESAPEAKE DRIVE
CAMBRIDGE, MD 21613
Dorchester County (410) 221-2266
DR. MARTHA ANN CLEVENGER M.D.
Psychiatry & Neurology (Psychiatry)
813-1 CHESAPEAKE DRIVE
CAMBRIDGE, MD 21613
Dorchester County (410) 221-2266
MRS. KAREN MARY TOSSEY LCSW-C
Social Worker (Clinical)
813-1 CHESAPEAKE DRIVE
CAMBRIDGE, MD 21613
Dorchester County (410) 221-2266
MS. SUZAN PARKER LCSW-C
Social Worker (Clinical)
813-1 CHESAPEAKE DRIVE
CAMBRIDGE, MD 21613
Dorchester County (410) 221-2266

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 Kathleen Bautista's NPI number?

The NPI number for Kathleen Bautista is 1558483867. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Kathleen Bautista located?

Kathleen Bautista practices at 813-1 Chesapeake Drive, Cambridge, MD 21613. The listed phone number is (410) 221-2266.

What is Kathleen Bautista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kathleen Bautista was last updated on May 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.