Emilia Christina Bazan-Grow, DNP,FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200850013NP Issued in OR

Practice address

13235 SW Glenhaven St
Beaverton, OR 97005-0958

Phone

(503) 750-4937

NPI assigned

Jun 30, 2006

Last updated

Aug 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Georgia Mso LLCGroup PAC ID 3173041639, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/dab37ab4-940f-46d2-83dd-9830ab97c4d5/

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.

• Georgia Mso LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1952196164
  Medicare reassignment Care Compare group NPD
• Chronic Disease Management of Georgia, LLC

  • Physical Medicine & Rehabilitation Physician
  • Monroe, GA
  • NPI 1699300939
  Medicare reassignment NPD
• Hardy Renew Wellness,LLC

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1952914368
  Medicare reassignment NPD
• True North Health Navigation LLC

  dba DispatchHealth

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1578047536
  Medicare reassignment NPD
• Emilia C Bazan-Grow

  • Family Nurse Practitioner
  • Beaverton, OR
  • NPI 1770175671
  Authorized official Same address or phone
• True North Health Navigation LLC

  dba Dispatch Health

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1740622133
  NPD
• Care Partners

  • Community Based Hospice Care Agency
  • Portland, OR
  • NPI 1255365904
  NPD (past)
• Tuality Physicians, P.C.

  dba Tuality Physicians

  • Family Medicine Physician
  • Hillsboro, OR
  • NPI 1073691556
  NPD (past)
• Inpatient Consultants of Nevada, Inc. a Medical Corporation

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1821041070
  NPD (past)
• Iyad Houshan, M.D. Professional Corporation

  dba Gerinet Of Nevada

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1467514729

  Family

  NPD (past)
• Vegas Valley Primary Care

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1881706109
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1902835275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13235 SW GLENHAVEN ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050958",
            "telephone_number": "503-750-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13235 SW GLENHAVEN ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050958",
            "telephone_number": "503-750-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZAN-GROW",
        "first_name": "EMILIA",
        "middle_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "DNP,FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN000896",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200850013NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60048456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick Baumgartle, MS LPC CADCII
• Jaspreet Bawa
• Amanda Elaine Desmarais Bawcom
• Julie Baxter
• Samuel West Baynes III, RPH
• Kristin A Bazor, RDH
• Tracey Anne Beagle
• Heidi Beale
• Jeffery Beale, LMT
• Naomi J Beale, MS SLP

• Family Nurse Practitioner in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.