Individual provider Active NPI

Lisandra Brizuela Aguilar, ARNP

  • Family Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1700557659
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1048102 Issued in TX
Practice address
20502 Baden Hollow LN
Cypress, TX 77433-1717
Phone
(305) 479-5718
NPI assigned
Sep 21, 2021
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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 1048102 TX Primary

Addresses

Primary practice location

20502 Baden Hollow LN
Cypress, TX 77433-1717

Mailing address

20502 Baden Hollow LN
Cypress, TX 77433-1717
Phone (305) 479-5718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20230503003151 TX Practitioner - Nurse Practitioner 6305201955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10025 Lake June Rd
Suite a
Dallas, TX 75217-3041
Phone (214) 484-8380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1048102TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aguilar Family Clinic LLC Family CurrentSince Jan 24, 2023 Accepting new patients
Harmony Medical Center LLC Family CurrentSince Oct 1, 2025 Accepting new patients

Locations

3415 S Collins St
Ste 103
Arlington, TX 76014
Phone (682) 347-4008

10025 Lake June Rd
#A
Dallas, TX 75217
Phone (214) 484-8380

Organizations & group practices 2

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": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1700557659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20502 BADEN HOLLOW LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331717",
            "telephone_number": "305-479-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20502 BADEN HOLLOW LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331717",
            "telephone_number": "305-479-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZUELA AGUILAR",
        "first_name": "LISANDRA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1048102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.