Active NPI
Marie V Pirillo-Collins, APRN
- Nurse Practitioner
- Lutz, FL
National Provider Identifier
1396011813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN9268967
- Practice address
- 17621 Ledger Line LN
Lutz, FL 33558-5621 - Phone
- (386) 864-1641
- NPI assigned
- Mar 29, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP-9268967 | FL | |
| Nurse Practitioner | 363L00000X | APRN9268967 | FL | Primary |
Addresses
Primary practice location
17621 Ledger Line LN
Lutz, FL 33558-5621
Mailing address
17621 Ledger Line LN
Lutz, FL 33558-5621
Phone (386) 864-1641
Other practice location 1
5421 Beaumont Center Blvd
Tampa, FL 33634-5259
Phone (786) 644-6413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396011813 | Other | FL | NPI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9268967 | FL | MD | Nurse Practitioner |
| ARNP-9268967 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dispatchhealth-Florida Inc. | Past | Accepting new patients |
Interoperability endpoints
- ms_mpirillo@landmarkhealth-direct.org
- marie.collins.1@13869.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1407472723
-
- Emergency Medicine Physician
- Doral, FL
- NPI 1154097491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1396011813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17621 LEDGER LINE LN",
"city": "LUTZ",
"state": "FL",
"postal_code": "335585621",
"telephone_number": "386-864-1641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17621 LEDGER LINE LN",
"city": "LUTZ",
"state": "FL",
"postal_code": "335585621",
"telephone_number": "386-864-1641"
}
],
"practiceLocations": [
{
"address_1": "5421 Beaumont Center Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336345259",
"country_code": "US",
"telephone_number": "786-644-6413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIRILLO-COLLINS",
"first_name": "MARIE",
"middle_name": "V",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-29",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP-9268967",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9268967",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1396011813",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
- Suseela Piduru, M.D.,
- Pieces of Success, LLC (Pieces of Success ABA Therapy)
- Alisa Suzanne Pierce-Kee, MD
- Virginia Pignato Pignato, LMHC
- Tasha L. Pinkston, BS
- Laura Pizzurro
- Diana Marcela Ponce, APRN, FNP-BC
- Renea Marie Porsch, PT, DPT, ATC
- David K Porter, LMHC
- Walter Ivan Porto Gutierrez, MSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.