Individual provider Active NPI

Hattie Hazen, FNP-C

  • Family Nurse Practitioner
  • Cedar Park, TX
National Provider Identifier
1417830746
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1207719 Issued in TX
Practice address
1201 N Lakeline Blvd Ste 400
Cedar Park, TX 78613-6780
Phone
(512) 379-7272
NPI assigned
Jul 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1207719 TX Primary

Addresses

Primary practice location

1201 N Lakeline Blvd Ste 400
Cedar Park, TX 78613-6780

Mailing address

1201 N Lakeline Blvd Ste 400
Cedar Park, TX 78613-6780
Phone (512) 379-7272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1207719TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zest Family Medicine PLLC CurrentSince Jul 28, 2025 Accepting new patients
Zest Family Medicine PLLC Family CurrentSince Jul 28, 2025 Accepting new patients

Locations

1201 N Lakeline Blvd
Ste 400
Cedar Park, TX 78613
Phone (512) 379-7272

Organizations & group practices 2

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": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1417830746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N LAKELINE BLVD STE 400",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136780",
            "telephone_number": "512-379-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N LAKELINE BLVD STE 400",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136780",
            "telephone_number": "512-379-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEN",
        "first_name": "HATTIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1207719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.