Individual provider Active NPI

Carol Mitchell Capozza, RD

  • Registered Dietitian
  • Gilroy, CA
National Provider Identifier
1043332372
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
674684 Issued in CA
Practice address
777 1St St # 171
Gilroy, CA 95020-4918
Phone
(408) 847-8901
Fax
(408) 847-4351
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 674684 CA Primary

Addresses

Primary practice location

777 1St St # 171
Gilroy, CA 95020-4918

Mailing address

8339 Church St Ste 211
Gilroy, CA 95020-4450
Phone (408) 847-8901

Other names 1

  • Carol Capozza Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
674684CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1043332372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8339 CHURCH ST STE 211",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204450",
            "telephone_number": "408-847-8901",
            "fax_number": "408-847-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 1ST ST # 171",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204918",
            "telephone_number": "408-847-8901",
            "fax_number": "408-847-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOZZA",
        "first_name": "CAROL",
        "middle_name": "MITCHELL",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "674684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "CAPOZZA",
            "credential": "MS, RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.