Individual provider Active NPI

Ana Ursula Chipollini, APRN FNP-BC PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aventura, FL
National Provider Identifier
1346753472
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9260761 Issued in FL
Practice address
2851 Leonard Dr Apt J506
Aventura, FL 33160-3904
Phone
(479) 856-2203
NPI assigned
Nov 11, 2017
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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 APRN9260761 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9260761 FL Primary

Addresses

Primary practice location

2851 Leonard Dr Apt J506
Aventura, FL 33160-3904

Mailing address

2851 Leonard Dr Apt J506
Aventura, FL 33160-3904
Phone (479) 856-2201

Other identifiers 2

IdentifierTypeStateIssuer
107910XXXMedicaidFL
APRN9260761OtherFLPROFESSIONAL LICENSE

Other names 1

  • Ana Ursula Chipollini Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Electronichealthrecords Other

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
I20211201001948 FL Practitioner - Nurse Practitioner 5698102200 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9260761FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zion Global Health Center Corp Family CurrentSince Nov 28, 2021 Accepting new patients
Safe Future LLC CurrentSince Dec 1, 2021 Accepting new patients
Believe and Trust TCM LLC Past Accepting new patients

Locations

1400 NE 125th St
North Miami, FL 33161
Phone (305) 915-8900

Organizations & group practices 4

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": "1510358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1346753472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 LEONARD DR APT J506",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331603904",
            "telephone_number": "479-856-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 LEONARD DR APT J506",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331603904",
            "telephone_number": "479-856-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIPOLLINI",
        "first_name": "ANA",
        "middle_name": "URSULA",
        "credential": "APRN FNP-BC PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-11",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9260761",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9260761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107910XXX",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "APRN9260761",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Electronichealthrecords",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "PROFFESIONAL EMAIL",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Professional email",
            "address_1": "2851 Leonard Dr Apt J506",
            "city": "Aventura",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331603904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "CHIPOLLINI",
            "middle_name": "URSULA",
            "credential": "APRN FNP-BC PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.