Lisa Ann Broun, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RX10715 Issued in OH

Practice address

4777 E Galbraith Rd
Cincinnati, OH 45236-2725

Phone

(513) 686-3011

Fax

(513) 686-5649

NPI assigned

Oct 7, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Ann Longshore Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1245565365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 E GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362725",
            "telephone_number": "513-686-3011",
            "fax_number": "513-686-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 E GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362725",
            "telephone_number": "513-686-3011",
            "fax_number": "513-686-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUN",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RX10715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "LONGSHORE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanna Brougham, NP
• Broughton Inc.
• Michael Wayne Broughton, DC
• Riley Ann Broughton
• Edward R Broun, MD
• Laura H Brower, MD
• Linda Brower, LPN
• Susan L Brower
• Brown Dentistry LLC
• Brown Healthcare Solutions LLC

• Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.