Provider Demographics
NPI:1295325785
Name:FALTER, BAYINK-RAINE FREDERICK (DNP, NPC)
Entity type:Individual
Prefix:
First Name:BAYINK-RAINE
Middle Name:FREDERICK
Last Name:FALTER
Suffix:
Gender:M
Credentials:DNP, NPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2831 GEARY PL UNIT 2918
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-0272
Mailing Address - Country:US
Mailing Address - Phone:775-513-3852
Mailing Address - Fax:
Practice Address - Street 1:2831 GEARY PL UNIT 2918
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-0272
Practice Address - Country:US
Practice Address - Phone:775-513-3852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-19
Last Update Date:2024-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV836624207Q00000X, 2083P0901X, 208600000X, 208VP0000X, 363LF0000X, 103TP0016X, 2088F0040X, 208VP0000X, 363LF0000X, 207RH0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0005XAllopathic & Osteopathic PhysiciansInternal MedicineHypertension Specialist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)
No2088F0040XAllopathic & Osteopathic PhysiciansUrologyUrogynecology and Reconstructive Pelvic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
F11200626OtherAANP
NVCS32694OtherBOARD OF PHARMACY
NV836624OtherAPRN
NVMF6910221OtherDEA