Your Family Walk-in Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2776972 Issued in FL

Legal business name

YOUR FAMILY WALK-IN CLINIC

Practice address

17929 Hunting Bow Cir
101
Lutz, FL 33558-5378

Phone

(813) 792-8555

NPI assigned

Mar 17, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Anne Brunton Cooley, FNP-C, PMHS-CNPI 1154359883

Title

Clinic Owner/ Manager

Phone

(813) 792-8555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Anne Brunton Cooley, APRN

  • Family Nurse Practitioner
  • Lutz, FL
  • NPI 1154359883
  NPD Authorized official

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1316363161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17929 HUNTING BOW CIRCLE",
            "address_2": "SUITE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588400",
            "telephone_number": "813-792-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17929 HUNTING BOW CIR",
            "address_2": "101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585378",
            "telephone_number": "813-792-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAMILY WALK-IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "BRUNTON COOLEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CLINIC OWNER/ MANAGER",
        "authorized_official_telephone_number": "813-792-8555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C, PMHS-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2776972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Young
• Juan M Young, M.D.
• Matthew Young
• Nancy Young, RCSWI
• Shannon Young
• Your Family Walk-in Clinic LLC
• Gabriella Zakhary
• Dominic Zavoli
• Zenlifemd PA (Zenlifemd Health and Wellness)
• Martha Reaves Zentmeyer

• Family Nurse Practitioner in Lutz, FL
• Providers in Lutz, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.