Individual provider Active NPI

Lisy Montano Brea, N.P.

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1124577564
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131895 Issued in TX
Practice address
9495 Marsh LN
Suite100
Dallas, TX 75220-4946
Phone
(214) 351-0010
Fax
(214) 351-0375
NPI assigned
Sep 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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 AP131895 TX Primary

Addresses

Primary practice location

9495 Marsh LN
Suite100
Dallas, TX 75220-4946

Mailing address

9495 Marsh LN
Suite100
Dallas, TX 75220-4946
Phone (214) 351-0010

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP131895TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Finneas Health Past Accepting new patients
Coral Medical Services, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lmontanobrea323483@direct.sw.org
  • Direct secure messaging: lmontano303907@direct.phhs.org

Organizations & group practices 2

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": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1124577564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9495 MARSH LN",
            "address_2": "SUITE100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204946",
            "telephone_number": "214-351-0010",
            "fax_number": "214-351-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9495 MARSH LN",
            "address_2": "SUITE100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204946",
            "telephone_number": "214-351-0010",
            "fax_number": "214-351-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANO BREA",
        "first_name": "LISY",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.