Individual provider Active NPI

Cecelia Cooper, ARNP

  • Family Nurse Practitioner
  • Lewisville, TX
National Provider Identifier
1770053407
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000195 Issued in FL
Practice address
1945 Lakepointe Dr Ste 100
Lewisville, TX 75057-6470
Phone
(800) 835-2362
NPI assigned
Nov 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 APRN11000195 FL Primary

Addresses

Primary practice location

1945 Lakepointe Dr Ste 100
Lewisville, TX 75057-6470

Mailing address

1945 Lakepointe Dr Ste 100
Lewisville, TX 75057-6470
Phone (800) 835-2362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190404002808 FL Practitioner - Nurse Practitioner 5698016459 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Travel Doctor PLGroup PAC ID 2567686090, 42 clinicians
The Clinicians, LLCGroup PAC ID 7214154509, 51 clinicians

Practice addresses (Care Compare)

10970 Cross Creek Blvd
Suite D
Tampa, FL 33647-4056
Phone (866) 550-2212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11000195FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Clinicians, LLC CurrentSince Apr 14, 2023 Accepting new patients
Travel Doctor, PL CurrentSince Feb 17, 2024 Accepting new patients
Jeffrey L Presser MD PA CurrentSince Apr 2, 2019 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince May 29, 2025 Accepting new patients
Boca del Mar Pediatric and Adolescent Center PA Past Accepting new patients

Locations

21301 Powerline Rd
Ste 106
Boca Raton, FL 33433
Phone (866) 550-2212

801 Meadows Rd
Ste 120
Boca Raton, FL 33486
Phone (561) 239-6494

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

3385 Burns Rd
Ste 106
Palm Beach Gardens, FL 33410
Phone (561) 691-0100

3385 Burns Rd
Ste 105
Palm Beach Gardens, FL 33410
Phone (561) 691-0100

10970 Cross Creek Blvd
Ste D
Tampa, FL 33647
Phone (813) 369-5969

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1770053407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 LAKEPOINTE DR STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576470",
            "telephone_number": "800-835-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 LAKEPOINTE DR STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576470",
            "telephone_number": "800-835-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CECELIA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.