Individual provider Active NPI

Christy Lynn Willis, MSN, FNP-C

  • General Practice Registered Nurse
  • El Paso, TX
National Provider Identifier
1710484829
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
AP135669 Issued in TX
Practice address
1840 Joe Battle Blvd
El Paso, TX 79936-0962
Phone
(915) 249-4344
Fax
(915) 250-4178
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X AP135669 TX Primary

Addresses

Primary practice location

1840 Joe Battle Blvd
El Paso, TX 79936-0962

Mailing address

1840 Joe Battle Blvd
El Paso, TX 79936-0962
Phone (915) 249-4344

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
AP135669TXMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Endovascular Center LLC Current Accepting new patients
Texan Procedure Center, LLC CurrentSince Aug 29, 2021 Accepting new patients
Texan Cardiovascular Institute, PA CurrentSince Aug 29, 2021 Accepting new patients

Locations

1840 Joe Battle Blvd
El Paso, TX 79936
Phone (800) 481-0089

3270 Joe Battle Blvd
Ste 215
El Paso, TX 79938
Phone (915) 206-2999

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6580/brand/1/csg/1/fhir/r4

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": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1710484829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360962",
            "telephone_number": "915-249-4344",
            "fax_number": "915-250-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360962",
            "telephone_number": "915-249-4344",
            "fax_number": "915-250-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "CHRISTY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "AP135669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.