Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine Bautista, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1598333213

Katherine Bautista, FNP-BC is a Nurse Practitioner in Brooklyn, New York. Qualified in 2020, 6 years ago. Practices with Community Health Project, Inc, a 46-clinician group and accepts Medicare assignment. Licensed in Georgia and New York.

Years since qualifying
6
Licensed in
GA, NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

40 Flatbush Avenue Ext
Brooklyn, NY 11201-2903
Phone: (386) 748-9704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 349619 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence RN290212 (GA)

Record details

NPI number1598333213
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedJune 17, 2021
Last updated in NPPESSeptember 21, 2023
Certification dateJune 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Community Health Project, Inc. — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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