Individual provider Active NPI

Lana Cliett Brunett, APRN, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Waco, TX
National Provider Identifier
1982825550
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
658403 Issued in TX
Practice address
3501 N 19TH St
Waco, TX 76708-2097
Phone
(254) 745-5117
Fax
(254) 296-5935
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 658403 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 658403 TX Primary

Addresses

Primary practice location

3501 N 19TH St
Waco, TX 76708-2097

Mailing address

471 FM 3370
Aquilla, TX 76622
Phone (254) 695-7896

Other identifiers 1

IdentifierTypeStateIssuer
05546OtherTXPRESCRIPTION ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
658403TXMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1982825550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 FM 3370",
            "city": "AQUILLA",
            "state": "TX",
            "postal_code": "76622",
            "telephone_number": "254-695-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N 19TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767082097",
            "telephone_number": "254-745-5117",
            "fax_number": "254-296-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNETT",
        "first_name": "LANA",
        "middle_name": "CLIETT",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP,  PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "658403",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "658403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESCRIPTION ID NUMBER",
            "identifier": "05546",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.