Christina Bazan, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1018921 Issued in TX

Practice address

5077 E Interstate 20 Service Rd N
Willow Park, TX 76087-3219

Phone

(817) 374-4949

Fax

(866) 493-3919

NPI assigned

Nov 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• D&J Grace Team LLC

  • Internal Medicine Physician
  • Crowley, TX
  • NPI 1093062937
  Medicare reassignment NPD
• Medical Care at Home PA Dba Khan Medical Clinic

  • Internal Medicine Physician
  • Willow Park, TX
  • NPI 1154839652
  NPD

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1851995682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5077 E INTERSTATE 20 SERVICE RD N",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760873219",
            "telephone_number": "817-374-4949",
            "fax_number": "866-493-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5077 E INTERSTATE 20 SERVICE RD N",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760873219",
            "telephone_number": "817-374-4949",
            "fax_number": "866-493-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZAN",
        "first_name": "CHRISTINA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1018921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Bailey
• Michele Bailey, COTA
• Marisa R Baker, RN, IBCLC
• Michael Ball, D.D.S.
• Julianna Bauer
• Isabel Beale
• Sherrie Beaty
• George Joseph Bember, PT, DPT, OCS
• Margaret Grace Bergmann
• Lauri Berka, OTR

• Family Nurse Practitioner in Willow Park, TX
• Providers in Willow Park, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.