Individual provider Active NPI

Barbara Antol-Dlugopolski, APN

  • Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1437576642
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP8985 Issued in AZ
Practice address
585 N Juniper Dr Ste 200
Chandler, AZ 85226-2559
Phone
(480) 499-8700
NPI assigned
Mar 25, 2014
Last updated
Apr 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP8985 AZ Primary
Family Nurse Practitioner 363LF0000X 209011254 IL

Addresses

Primary practice location

585 N Juniper Dr Ste 200
Chandler, AZ 85226-2559

Mailing address

585 N Juniper Dr Ste 200
Chandler, AZ 85226-2559
Phone (480) 499-8700

Other practice location 1

901 Singer Ave
Lemont, IL 60439-3928
Phone (708) 724-6063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200207000684 AZ Practitioner - Nurse Practitioner 5395066229 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8985AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Azpc Clinics, LLC CurrentSince May 1, 2022 Accepting new patients
Arizona Health Advantage Inc. CurrentSince Jan 19, 2020 Accepting new patients

Locations

585 N Juniper Dr
Ste 200
Chandler, AZ 85226
Phone (480) 499-8700

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1437576642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 N JUNIPER DR STE 200",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262559",
            "telephone_number": "480-499-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 N JUNIPER DR STE 200",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262559",
            "telephone_number": "480-499-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Singer Ave",
            "address_purpose": "LOCATION",
            "city": "Lemont",
            "state": "IL",
            "postal_code": "604393928",
            "country_code": "US",
            "telephone_number": "708-724-6063",
            "fax_number": "866-899-3719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTOL-DLUGOPOLSKI",
        "first_name": "BARBARA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP8985",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011254",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.