Lisa Anne Brunton Cooley, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2776972 Issued in FL

Practice address

17929 Hunting Bow Cir Ste 101
Lutz, FL 33558-5378

Phone

(813) 792-8555

Fax

(813) 792-0555

NPI assigned

Jun 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20313/brand/1/csg/1/fhir/r4

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.

• Your Family Walk-in Clinic

  • Family Nurse Practitioner
  • Lutz, FL
  • NPI 1316363161
  NPD Authorized official
• Your Family Walk-in Clinic LLC

  • Health Service Clinic/Center
  • Lutz, FL
  • NPI 1609297928
  Medicare reassignment
• Pediatric Neurology Associates

  • Neurology with Special Qualifications in Child Neurology Physician
  • St Petersburg, FL
  • NPI 1275568859
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1154359883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17929 HUNTING BOW CIR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585378",
            "telephone_number": "813-792-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17929 HUNTING BOW CIR STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585378",
            "telephone_number": "813-792-8555",
            "fax_number": "813-792-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNTON COOLEY",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "2776972",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2776972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302641800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Cornelius Brown II, PA-C
• Jennifer Gallagher Brown, PHARM.D, RPH
• Rayanna Nicole Brown
• William Arthur Brown, PHARM.D.
• Mikayla Bruce
• Stephanie Buchanan
• Amber Danielle Budary-Corbin
• Valerie Buethe, ARNP
• Skyeler Burkart, BT
• Ana Maria Bush, D.D.S.

• Family Nurse Practitioner in Lutz, FL
• Providers in Lutz, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.