Ava Ana Marie Virella, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11014946 Issued in FL

Practice address

5572 SW 28TH Ter
Fort Lauderdale, FL 33312-6572

Phone

(305) 785-4880

NPI assigned

Aug 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cleopatra Gordon Pusey, MD P.a.

  • Primary Care Clinic/Center
  • Pembroke Pines, FL
  • NPI 1740502228
  Medicare reassignment NPD
• Wound Technology Network Inc

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1962601393
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  FL

  Medicare reassignment
• Pembroke Pines Community Health Center Inc

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1326774308
  NPD

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1619645181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5572 SW 28TH TER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126572",
            "telephone_number": "305-785-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5572 SW 28TH TER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126572",
            "telephone_number": "305-785-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRELLA",
        "first_name": "AVA",
        "middle_name": "ANA MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Robinson Violante, PSY.D.
• Vip Home Clinic, LLC
• Vip Physicians Consulting LLC
• Vip Surgeries
• Viraj V. Tirmal, M.D., PLLC
• Marie Visalli
• Vision Doctors Group LLC
• Vision Source of East Broward LLC
• Vision-Quest, Inc.
• Visionworks Inc

• Family Nurse Practitioner in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.

Verify at the official NPI Registry.