Individual provider Active NPI

Christy B Stewart, RN,MSN,FNP-BC

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1881948750
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
722939 Issued in TX
Practice address
3455 Locke Ave
Suite 210
Fort Worth, TX 76107-5719
Phone
(817) 529-6200
Fax
(817) 377-5229
NPI assigned
Oct 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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 722939 TX Primary

Addresses

Primary practice location

3455 Locke Ave
Suite 210
Fort Worth, TX 76107-5719

Mailing address

1308 Paluxy Rd Ste 205
Granbury, TX 76048-5689
Phone (817) 759-7000

Other identifiers 2

IdentifierTypeStateIssuer
2012023045OtherTXANCC CERTIFICATION
722939OtherTXRN LICENSE #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cstewart@txcc.direct.varian.com Direct

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
I20130531000098 TX Practitioner - Nurse Practitioner 1759529829 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

4425 E US Hwy 377 104
Privia Medical Group North Texas
Granbury, TX 76049-7475
Phone (817) 382-2273

6700 Buenos Aires Dr
N Richland Hills, TX 76180-6566
Phone (817) 281-8245

920 Santa Fe Dr
Suite 103
Weatherford, TX 76086-5865
Phone (817) 339-8855

933 Hilltop Dr
Weatherford, TX 76086-8807
Phone (817) 339-8855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
722939TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Nov 29, 2022 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Nov 29, 2022 Accepting new patients
Monty V. Trimble , MD, P.a CurrentSince Jun 1, 2013 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Mar 23, 2020 Accepting new patients

Locations

3455 Locke Ave
Fort Worth, TX 76107
Phone (214) 284-7106

3455 Locke Ave
Ste 210
Fort Worth, TX 76107
Phone (817) 377-5223

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

Interoperability endpoints

  • Direct secure messaging: christy.stewart.p1@direct.thc.nextgenshare.com

Organizations & group practices 5

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": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1881948750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 PALUXY RD STE 205",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485689",
            "telephone_number": "817-759-7000",
            "fax_number": "817-759-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 LOCKE AVE",
            "address_2": "SUITE 210",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075719",
            "telephone_number": "817-529-6200",
            "fax_number": "817-377-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CHRISTY",
        "middle_name": "B",
        "credential": "RN,MSN,FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "722939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC CERTIFICATION",
            "identifier": "2012023045",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE #",
            "identifier": "722939",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cstewart@txcc.direct.varian.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1308 Paluxy Rd Ste 205",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760485689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.