Active NPI
Denise Lynn Nonelle, APRN, FNP-BC
- Primary Care Nurse Practitioner
- Hollywood, FL
National Provider Identifier
1285149179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- ARNP9320798
- Practice address
- 1930 Harrison St Ste 404
Hollywood, FL 33020 - Phone
- (786) 780-1188
- Fax
- (786) 780-1176
- NPI assigned
- Dec 13, 2017
- Last updated
- May 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | APRN9320798 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | ARNP9320798 | FL | Primary |
Addresses
Primary practice location
1930 Harrison St Ste 404
Hollywood, FL 33020
Mailing address
5116 Jefferson St
Hollywood, FL 33021-7116
Phone (786) 556-9944
Other practice location 1
21097 NE 27th Ct Ste 110
Aventura, FL 33180-1206
Phone (305) 384-4720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Previously, effective Aug 19, 2020 through Aug 19, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9320798 | FL | MD | Cardiovascular Disease Physician |
| ARNP9320798 | FL | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527465600000",
"number": "1285149179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5116 JEFFERSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330217116",
"telephone_number": "786-556-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 HARRISON ST STE 404",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33020",
"telephone_number": "786-780-1188",
"fax_number": "786-780-1176"
}
],
"practiceLocations": [
{
"address_1": "21097 NE 27th Ct Ste 110",
"address_purpose": "LOCATION",
"city": "Aventura",
"state": "FL",
"postal_code": "331801206",
"country_code": "US",
"telephone_number": "305-384-4720",
"fax_number": "305-933-1749",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NONELLE",
"first_name": "DENISE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-13",
"last_updated": "2018-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "APRN9320798",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "ARNP9320798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.