Lisa Brathwaite-Mason, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

1124598 Issued in TX

Practice address

5800 Bellaire Blvd BLDG 1B
Houston, TX 77081-5537

Phone

(713) 541-5372

NPI assigned

May 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lisa M Brathwaite Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: liss.brathwaitemason.p1@direct.ppgt.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Chautauqua Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Dunkirk, NY
  • NPI 1760747521
  NPD
• Planned Parenthood Gulf Coast, Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Houston, TX
  • NPI 1245322577
  NPD (past)
• Planned Parenthood Gulf Coast, Inc.

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1881742922
  NPD (past)
• Planned Parenthood of Greater Texas

  • Ambulatory Family Planning Facility
  • Austin, TX
  • NPI 1528147204
  NPD (past)

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1396038550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770233533",
            "telephone_number": "713-831-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 BELLAIRE BLVD BLDG 1B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815537",
            "telephone_number": "713-541-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATHWAITE-MASON",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-20",
        "last_updated": "2023-10-12",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1124598",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F42096-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BRATHWAITE",
            "middle_name": "M",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Brasher, M.D.
• Nicole Stark Brassell, O.D.
• Kelly Jean Brassil, APN
• Carly Braswell, LPC
• Mary Ames Bratcher, LMT, BCTMB, EMT-B
• Nicole M Brathwaite, AGACNP-BC
• Boris Bratovich, PAC
• Del R Bratton, D.D.S.
• Naeemah Bratton
• Randall Walter Brauchle, M.D.

• Women's Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.