Individual provider Active NPI

Lisa D Cox, FNP-BC

  • Family Nurse Practitioner
  • Greenacres, FL
National Provider Identifier
1699401935
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11021016 Issued in FL
Practice address
4998 10TH Ave N
Greenacres, FL 33463-2210
Phone
(561) 293-2900
Fax
(561) 412-5554
NPI assigned
Jul 28, 2022
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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 APRN11021016 FL Primary

Addresses

Primary practice location

4998 10TH Ave N
Greenacres, FL 33463-2210

Mailing address

4998 10TH Ave N
Greenacres, FL 33463-2210
Phone (561) 293-2900

Other identifiers 3

IdentifierTypeStateIssuer
APRN11021016OtherFLSTATE LICENSE
4009582OtherKYSTATE LICENSE
2023043303OtherMOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MO, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220822003336 FL Practitioner - Nurse Practitioner 1951784081 Reassigns benefits to 1 organization
I20231101002301 MO Practitioner - Nurse Practitioner 1951784081 Reassigns benefits to 1 organization
I20231122002156 GA Practitioner - Nurse Practitioner 1951784081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Transtreme, LLC Family CurrentSince Oct 24, 2023 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Apr 1, 2024 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

4998 10th Ave N
Greenacres, FL 33463
Phone (305) 965-4997

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1662 N 2nd St
Clinton, MO 64735
Phone (660) 890-0889

257 Clarkson Rd
Ellisville, MO 63011
Phone (636) 207-7401

6530 Troost Ave
Ste A
Kansas City, MO 64131
Phone (816) 361-0670

7501 Fannin St
Ste 705
Houston, TX 77054
Phone (713) 589-5283

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1699401935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4998 10TH AVE N",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632210",
            "telephone_number": "561-293-2900",
            "fax_number": "561-412-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4998 10TH AVE N",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632210",
            "telephone_number": "561-293-2900",
            "fax_number": "561-412-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "LISA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11021016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APRN11021016",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4009582",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2023043303",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.