Lyssa Brooks, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11006881 Issued in FL

Practice address

6650 W Indiantown Rd Ste 110
Jupiter, FL 33458-4629

Phone

(561) 575-9876

NPI assigned

Apr 14, 2020

Last updated

Jan 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• LB Mindful Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • St Petersburg, FL
  • NPI 1861131583
  NPD Authorized official
• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032
  NPD

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1184243628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 W INDIANTOWN RD STE 110",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584629",
            "telephone_number": "561-575-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W INDIANTOWN RD STE 110",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584629",
            "telephone_number": "561-575-9876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15689 Southern Blvd Unit 101",
            "address_purpose": "LOCATION",
            "city": "Loxahatchee",
            "state": "FL",
            "postal_code": "334709229",
            "country_code": "US",
            "telephone_number": "561-614-1116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "LYSSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006881",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11006881",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11006881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A. Briskin, M.D.
• Gwyneth Elizabeth Brodsky, LMHC
• William Joseph Brogna, D.C.
• Erica Brohman
• Erin Brooker Lozott, EDD, BCBA-D, CCC-SLP
• Rose Jeannie Brooks, BC-FNP
• Valerie Anne Broome, PA-C
• Erin Woodham Brophy, ARNP
• Broward Primary Partners LLC
• Cynthia Amber Brown, NP-C

• Psychiatric/Mental Health Nurse Practitioner in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.