NPIMap

Individual provider Active NPI

Lisa Brown, FNP-C

  • Family Nurse Practitioner
  • Booker, TX
National Provider Identifier
1275194169
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141952 Issued in TX
Practice address
146 Pioneer Dr
Booker, TX 79005-6008
Phone
(806) 658-4531
Fax
(806) 658-9344
NPI assigned
Jun 22, 2019
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP141952 TX Primary

Addresses

Primary practice location

146 Pioneer Dr
Booker, TX 79005-6008

Mailing address

PO Box 550
Booker, TX 79005-0550
Phone (806) 658-4531

Other practice location 1

3101 Garrett Dr
Perryton, TX 79070-5323
Phone (806) 435-7131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190826003455 TX Practitioner - Nurse Practitioner 9830427012 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

112 Pioneer Dr
Booker, TX 79005-6008

146 Pioneer Dr
Booker, TX 79005-6008
Phone (806) 658-4531

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ochiltree Hospital District CurrentSince Jul 1, 2019 Accepting new patients
Ochiltree Hospital District CurrentSince Jul 1, 2019 Accepting new patients
Ochiltree Hospital District Current Accepting new patients
Yellow Ridge Healthcare LLC CurrentSince Jul 1, 2024 Accepting new patients
Booker Hospital District CurrentSince Jul 1, 2024 Accepting new patients
Ochiltree Hospital District Past Accepting new patients

Locations

146 Pioneer Dr
Booker, TX 79005
Phone (806) 658-4531

3101 Garrett Dr
Perryton, TX 79070
Phone (806) 435-3606

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Teare Memorial ClinicBooker, TX, CCN 458974 Rural health clinic Corporate Officer (95%) Jul 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1275194169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "BOOKER",
            "state": "TX",
            "postal_code": "790050550",
            "telephone_number": "806-658-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 PIONEER DR",
            "city": "BOOKER",
            "state": "TX",
            "postal_code": "790056008",
            "telephone_number": "806-658-4531",
            "fax_number": "806-658-9344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Garrett Dr",
            "address_purpose": "LOCATION",
            "city": "Perryton",
            "state": "TX",
            "postal_code": "790705323",
            "country_code": "US",
            "telephone_number": "806-435-7131",
            "fax_number": "806-435-2813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LISA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-22",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booker, TX

Sources for this page

Verify at the official NPI Registry.