Active NPI
Lee Ann Brocato, N.P.
- Family Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP129496
- Practice address
- 500 S Henderson St Ste 200
Ft Worth, TX 76104-2154 - Phone
- (817) 413-1500
- Fax
- (817) 413-1499
- NPI assigned
- Oct 31, 2013
- Last updated
- Sep 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP129496 | TX | Primary |
Addresses
Primary practice location
500 S Henderson St Ste 200
Ft Worth, TX 76104-2154
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other names 1
- Lee Ann Maranto
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 S Henderson St
Suite 200
Fort Worth, TX 76104-2154
Phone (817) 413-1500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients | |
| University Health Shreveport LLC | Current | Accepting new patients | |
| University Health Shreveport LLC | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients |
Locations
1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
500 S Henderson St
Ste 200
Ft Worth, TX 76104
Phone (817) 413-1500
6500 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 263-2600
Interoperability endpoints
- lee.brocato@txo.ikm.direct-ci.com
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.
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
-
dba Ochsner LSU Health Shreveport
- Nurse Practitioner
- Shreveport, LA
- NPI 1619443611
-
- Medical Oncology Physician
- Fort Worth, TX
- NPI 1033386578
-
- Medical Oncology Physician
- Pearland, TX
- NPI 1912174350
-
dba Ochsner LSU Health Shreveport
- Certified Registered Nurse Anesthetist
- Shreveport, LA
- NPI 1629544622
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1215365119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S HENDERSON ST STE 200",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761042154",
"telephone_number": "817-413-1500",
"fax_number": "817-413-1499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCATO",
"first_name": "LEE",
"middle_name": "ANN",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-31",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP129496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEE",
"last_name": "MARANTO",
"middle_name": "ANN",
"credential": "N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.
- 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.