Individual provider Active NPI

Christopher D Casebolt, MSN, FNP-BC, FNP-C

  • Family Nurse Practitioner
  • Deer Park, TX
National Provider Identifier
1881452381
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1154853 Issued in TX
Practice address
126 W San Augustine St
Deer Park, TX 77536-4024
Phone
(281) 884-8100
NPI assigned
Mar 8, 2024
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 36332 TN
Family Nurse Practitioner 363LF0000X 1154853 TX Primary
Family Nurse Practitioner 363LF0000X 59628 WY
Family Nurse Practitioner 363LF0000X 209.031687 IL
Family Nurse Practitioner 363LF0000X 237589 LA
Family Nurse Practitioner 363LF0000X 17143-33 WI
Family Nurse Practitioner 363LF0000X 80291 NM

Addresses

Primary practice location

126 W San Augustine St
Deer Park, TX 77536-4024

Mailing address

730 S Clark St Apt 1310
Chicago, IL 60605-1748
Phone (404) 825-1690

Other practice location 1

10059 N Reiger Rd
Baton Rouge, LA 70809-4559
Phone (225) 756-2673

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
209.031687ILMDFamily Nurse Practitioner
237589LAMDFamily Nurse Practitioner
80291NMMDFamily Nurse Practitioner
36332TNMDFamily Nurse Practitioner
1154853TXMDFamily Nurse Practitioner
17143-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Core Occupational Medicine Services PastSince Mar 12, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1881452381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S CLARK ST APT 1310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051748",
            "telephone_number": "404-825-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W SAN AUGUSTINE ST",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775364024",
            "telephone_number": "281-884-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10059 N Reiger Rd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708094559",
            "country_code": "US",
            "telephone_number": "225-756-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASEBOLT",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MSN, FNP-BC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-08",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36332",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1154853",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "59628",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.031687",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "237589",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "17143-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "80291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.