YOUR FAMILY WALK-IN CLINIC (NPI# 1316363161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316363161 |
| Entity Type | Organization |
| Organization Name | YOUR FAMILY WALK-IN CLINIC |
| Practice Address |
17929 Hunting Bow Cir 101 Lutz FL 33558-5378 |
| Mailing Address |
17929 Hunting Bow Circle Suite 101 Lutz FL 33558-8400 |
| Practice Telephone | 8137928555 |
| Mailing Telephone | 8137928555 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2015-09-24 |
| Authorized Official Name | MRS. LISA ANNE BRUNTON COOLEY (CLINIC OWNER/ MANAGER) |
| Authorized Official Telephone | 8137928555 |
| Authorized Official Credential | FNP-C, PMHS-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2776972 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609297928 | Your Family Walk-in Clinic | Clinic/Center | 17318 Bridlepath Ct, Lutz, FL 33558-8400 | 2014-01-05 |
| Street Address |
17929 HUNTING BOW CIR 101 |
| City | LUTZ |
| State | FL |
| Zip Code | 33558-5378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316229388 | Elizabeth Devries | Nurse Practitioner | 17929 Hunting Bow Cir, Lutz, FL 33558-5378 | 2011-09-15 |
| 1912510132 | Chelsea Pereira | Nurse Practitioner | 17929 Hunting Bow Cir, Lutz, FL 33558-5378 | 2020-08-27 |
| 1275007577 | Jessica Ellen Ospina | Nurse Practitioner | 17929 Hunting Bow Cir, Lutz, FL 33558-5378 | 2019-01-20 |
| 1194297275 | Kristen Mary Sismilich | Registered Nurse | 17929 Hunting Bow Cir, Lutz, FL 33558-5378 | 2018-12-29 |
| 1649769837 | Michael A Trueba | Physician Assistant | 17929 Hunting Bow Cir, Lutz, FL 33558 | 2018-05-03 |
| 1619472404 | Heidi Lynn Palipchak | Nurse Practitioner | 17929 Hunting Bow Cir, Lutz, FL 33558-5378 | 2018-03-26 |
| 1508316449 | Daniel Boylan | Nurse Practitioner | 17929 Hunting Bow Cir, Lutz, FL 33558-5378 | 2016-10-04 |
| 1295159937 | Heather Christine Greer | Nurse Practitioner | 17929 Hunting Bow Cir, Lutz, FL 33558-5378 | 2014-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1780175273 | Elder Services of Central Florida, Inc | Home Health | 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 | 2018-05-21 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1376905851 | Michelle Renee Story | Contractor | 20921 Haulover Cv. #f6, Lutz, FL 33558 | 2016-03-24 |
| 1992192223 | Melissa Sonia Giblin | Specialist/Technologist, Other | 17535 Darby Ln, Lutz, FL 33558 | 2015-04-24 |
| 1396177739 | Zoe Scripts Laboratory Services LLC | Clinical Medical Laboratory | 4969 Van Dyke Rd., Lutz, FL 33558 | 2013-08-08 |
| 1649617705 | Suzanne Marie Newby | Physician Assistant | 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 | 2013-05-30 |
| 1073889572 | Julie J. Mckean, Lmhc, Ncc, LLC | Counselor | 4929 Van Dyke Road, Lutz, FL 33558 | 2012-03-29 |
| 1750524864 | Sheetal Suryawanshi | Dentist | 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 | 2009-04-20 |
| 1063675478 | Juan J Egas | Physical Medicine & Rehabilitation | 17807 Hunting Bow Cir, Lutz, FL 33558 | 2008-07-07 |
| Find all providers in zip 33558 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881416 | Donald Douglass Jamieson | Nurse Practitioner | 17929 Hunting Bow Cir # Na, Lutz, FL 33558-5378 | 2020-11-08 |
| 1801406194 | Victoria Gonzalez | Nurse Practitioner | 18249 Clear Lake Dr, Lutz, FL 33548-6436 | 2020-08-03 |
| 1740808385 | Jesus Ivan Gonzalez Batista | Nurse Practitioner | 22628 Royal Ridge Ct, Lutz, FL 33549-8781 | 2020-07-09 |
| 1992336440 | Linda Marie Unger | Nurse Practitioner | 2077 Wetland Pt Unit 1201, Lutz, FL 33558-5463 | 2020-02-03 |
| 1629626718 | Amy Marie Algood | Nurse Practitioner | 2507 Chateau Dr, Lutz, FL 33559-4006 | 2019-08-31 |
| 1649837352 | Alycia Buford Boudreau | Nurse Practitioner | 19605 Morden Blush Dr, Lutz, FL 33558-9087 | 2019-05-29 |
| 1962982207 | Azeezat Fashola | Nurse Practitioner | 18956 N Dale Mabry Hwy Ste 102, Lutz, FL 33548-4915 | 2018-08-16 |
| 1316424153 | Melissa Rae Waller | Nurse Practitioner | 1860 Bearberry Cir Apt 208, Lutz, FL 33559-8778 | 2018-07-24 |
| 1235621806 | Eliana Hicks | Nurse Practitioner | 2404 Towery Trl, Lutz, FL 33549-3779 | 2018-05-30 |
| 1831643485 | Jennifer Childers | Nurse Practitioner | 24229 Lakerush Ct, Lutz, FL 33559-7330 | 2016-08-11 |
| Find all providers in LUTZ | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.