Individual provider Active NPI

Marisa Cipolla, NP

  • Family Nurse Practitioner
  • Santa Barbara, CA
National Provider Identifier
1366194342
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023787 Issued in CA
Practice address
2323 De la Vina St Ste 303
Santa Barbara, CA 93105-3876
Phone
(805) 563-0855
NPI assigned
Jan 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95120931 CA
Family Nurse Practitioner 363LF0000X 95023787 CA Primary

Addresses

Primary practice location

2323 De la Vina St Ste 303
Santa Barbara, CA 93105-3876

Mailing address

1601 Gillespie St
Santa Barbara, CA 93101-4767
Phone (570) 447-7226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230629001205 CA Practitioner - Nurse Practitioner 7719346394 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95120931CAMDRegistered Nurse
95023787CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Santa Barbara a Medical Group CurrentSince Jul 1, 2023 Accepting new patients
Goleta Valley Cottage Hospital PastSince Jul 1, 2023 Accepting new patients

Locations

2323 De la Vina St
Ste 303
Santa Barbara, CA 93105
Phone (805) 563-0327

Organizations & group practices 2

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": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1366194342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 GILLESPIE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931014767",
            "telephone_number": "570-447-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 DE LA VINA ST STE 303",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053876",
            "telephone_number": "805-563-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPOLLA",
        "first_name": "MARISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95120931",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.