Individual provider Active NPI

Johnelle Suzanne Elizabeth Cooper-Lassiter, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1194370668
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141559 Issued in TX
Practice address
15704 Oak Pointe Dr
Fort Worth, TX 76177-1560
Phone
(307) 277-9072
NPI assigned
Aug 1, 2019
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 256397 AK
Family Nurse Practitioner 363LF0000X 116769 NE
Family Nurse Practitioner 363LF0000X 2481205 ID
Family Nurse Practitioner 363LF0000X C-APN.0106256-C-NP CO
Family Nurse Practitioner 363LF0000X ARNP.AP.70121351-NP WA
Family Nurse Practitioner 363LF0000X 228724 OK
Family Nurse Practitioner 363LF0000X A189849 IA
Family Nurse Practitioner 363LF0000X AP141559 TX Primary
Family Nurse Practitioner 363LF0000X 900160 NV
Family Nurse Practitioner 363LF0000X 58809 WY
Family Nurse Practitioner 363LF0000X TELE340073 AZ
Family Nurse Practitioner 363LF0000X 8647390-4405 UT

Addresses

Primary practice location

15704 Oak Pointe Dr
Fort Worth, TX 76177-1560

Mailing address

15704 Oak Pointe Dr
Fort Worth, TX 76177-1560
Phone (307) 277-9072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20200827002360 TX Practitioner - Nurse Practitioner 6305263914 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Telehealth Services of Texas AssociationGroup PAC ID 8921437427, 47 clinicians

Practice addresses (Care Compare)

1855 Gattis School Rd
Round Rock, TX 78664-7428
Phone (866) 389-2727

5900 W Pleasant Ridge Rd
Arlington, TX 76016-4427
Phone (866) 389-2727

601 N Industrial Blvd
Bedford, TX 76021-5234
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C-APN.0106256-C-NPCOMDFamily Nurse Practitioner
A189849IAMDFamily Nurse Practitioner
2481205IDMDFamily Nurse Practitioner
116769NEMDFamily Nurse Practitioner
900160NVMDFamily Nurse Practitioner
228724OKMDFamily Nurse Practitioner
AP141559TXMDFamily Nurse Practitioner
8647390-4405UTMDFamily Nurse Practitioner
ARNP.AP.70121351-NPWAMDFamily Nurse Practitioner
58809WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Urgent Care PA CurrentSince Sep 15, 2020 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Sep 23, 2021 Accepting new patients
Minuteclinic Primary Care Texas PLLC Family CurrentSince Jul 16, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Sep 23, 2021 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Aug 11, 2022 Accepting new patients
Goodside Health Medical, PLLC Past Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5900 W Pleasant Ridge Rd
Arlington, TX 76016
Phone (817) 468-6041

5526 S Congress Ave
Austin, TX 78745
Phone (512) 310-3190

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

11661 Preston Rd
Ste 218
Dallas, TX 75230
Phone (214) 363-1571

1411 Main St
Dallas, TX 75202
Phone (214) 749-4092

1003 Richmond Ave
Houston, TX 77006
Phone (713) 807-8491

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

5002 W Main St
League City, TX 77573
Phone (281) 557-4374

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

2900 Broadway St
Pearland, TX 77581
Phone (281) 997-4400

9522 Broadway St
Pearland, TX 77584
Phone 7134368151 ext. 8221

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

1301 N Saginaw Blvd
Saginaw, TX 76179
Phone (817) 247-4333

5301 Alamo Pkwy
San Antonio, TX 78253
Phone (210) 688-9311

1640 Lake Woodlands Dr
Ste E
The Woodlands, TX 77380
Phone (281) 367-0010

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1194370668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15704 OAK POINTE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771560",
            "telephone_number": "307-277-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15704 OAK POINTE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771560",
            "telephone_number": "307-277-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER-LASSITER",
        "first_name": "JOHNELLE",
        "middle_name": "SUZANNE ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "256397",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "116769",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "2481205",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0106256-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "ARNP.AP.70121351-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "228724",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A189849",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141559",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "900160",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "58809",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TELE340073",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8647390-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.