Individual provider Active NPI

Christina Marie Chang, NP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1376843052
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP114985 Issued in TX
Practice address
7112 Ed Bluestein Blvd Ste 105
Austin, TX 78723-2913
Phone
(512) 978-9200
Fax
(512) 901-9756
NPI assigned
Oct 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 697889 TX
Family Nurse Practitioner 363LF0000X 697889 TX
Family Nurse Practitioner 363LF0000X AP114985 TX Primary

Addresses

Primary practice location

7112 Ed Bluestein Blvd Ste 105
Austin, TX 78723-2913

Mailing address

7112 Ed Bluestein Blvd Ste 105
Austin, TX 78723-2913
Phone (512) 978-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210426002900 TX Practitioner - Nurse Practitioner 9436567799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Central Texas Community Health CentersGroup PAC ID 5395802151, 165 clinicians

Practice addresses (Care Compare)

211 Comal St
Austin, TX 78702-4326
Phone (512) 978-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
697889TXMDRegistered Nurse
AP114985TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Community Health Centers CurrentSince Sep 25, 2025 Accepting new patients
Central Texas Community Health Centers Family CurrentSince Sep 25, 2025 Accepting new patients
Central Texas Community Health Centers Past Accepting new patients

Locations

1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300

2901 Montopolis Dr
Austin, TX 78741
Phone (512) 389-1010

211 Comal St
Austin, TX 78702
Phone (512) 972-4322

7112 Ed Bluestein Blvd
Ste 105
Austin, TX 78723
Phone (512) 445-4800

301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1376843052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7112 ED BLUESTEIN BLVD STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232913",
            "telephone_number": "512-978-9200",
            "fax_number": "512-901-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7112 ED BLUESTEIN BLVD STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232913",
            "telephone_number": "512-978-9200",
            "fax_number": "512-901-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "697889",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "697889",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP114985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.