Individual provider Active NPI

Heide Monica Kipp, APRN, FNP-BC

  • Family Nurse Practitioner
  • Dunedin, FL
National Provider Identifier
1467153882
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11025223 Issued in FL
Practice address
703 Virginia St
Dunedin, FL 34698-6615
Phone
(727) 734-4000
Fax
(727) 738-5037
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11025223 FL Primary

Addresses

Primary practice location

703 Virginia St
Dunedin, FL 34698-6615

Mailing address

2947 Moulden Hollow Dr
Zephyrhills, FL 33540-7333
Phone (727) 272-5347

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
I20230405002037 FL Practitioner - Nurse Practitioner 4587039532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
V.J. Dilella, D.O., L.L.C.Group PAC ID 1951208057, 11 clinicians

Practice addresses (Care Compare)

703 Virginia St
Dunedin, FL 34698-6615
Phone (727) 734-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11025223FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
V.J. Dilella, D.O., L.L.C. Family Medicine CurrentSince Apr 3, 2023 Accepting new patients

Locations

703 Virginia St
Dunedin, FL 34698
Phone (727) 734-4000

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1467153882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2947 MOULDEN HOLLOW DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335407333",
            "telephone_number": "727-272-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 VIRGINIA ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986615",
            "telephone_number": "727-734-4000",
            "fax_number": "727-738-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPP",
        "first_name": "HEIDE",
        "middle_name": "MONICA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

Verify at the official NPI Registry.