Individual provider Active NPI

Ann Elizabeth Lapolla, DNP, APRN

  • Acute Care Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1609276484
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
212114-4405 Issued in UT
Practice address
82 S 1100 E Ste 403
Salt Lake City, UT 84102-1892
Phone
(801) 242-2926
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 212114-4405 UT Primary

Addresses

Primary practice location

82 S 1100 E Ste 403
Salt Lake City, UT 84102-1892

Mailing address

8414 S Kings Cove Dr
Salt Lake City, UT 84121-6064
Phone (801) 231-4932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20150414002721 UT Practitioner - Nurse Practitioner 3072831437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8822 S Redwood Rd
Suite 103
West Jordan, UT 84088-9341
Phone (801) 281-5775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212114-4405UTMDAcute Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: cottonwoodmedicalclinic.annlapolla@130049.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1609276484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 S KINGS COVE DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216064",
            "telephone_number": "801-231-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 S 1100 E STE 403",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021892",
            "telephone_number": "801-242-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPOLLA",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "212114-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.