Active NPI
Josselyn Kellie Bazor, LBSW
- Case Manager/Care Coordinator
- Round Rock, TX
National Provider Identifier
1891100616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 58040
- Practice address
- 211 Commerce Blvd
Round Rock, TX 78664-2184 - Phone
- (512) 248-7608
- NPI assigned
- Jul 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 58040 | TX | Primary |
Addresses
Primary practice location
211 Commerce Blvd
Round Rock, TX 78664-2184
Mailing address
211 Commerce Blvd
Round Rock, TX 78664-2184
Phone (512) 248-7608
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
| License | State | Type | Specialty |
|---|---|---|---|
| 58040 | TX | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamson County & Cities Health District | Past | 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 and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Cedar Park, TX
- NPI 1699732958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1891100616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 COMMERCE BLVD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786642184",
"telephone_number": "512-248-7608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 COMMERCE BLVD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786642184",
"telephone_number": "512-248-7608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZOR",
"first_name": "JOSSELYN",
"middle_name": "KELLIE",
"credential": "LBSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-01",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "58040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.