Individual provider Active NPI

Cara Douville Kaupp, MD

  • Pediatrics Physician
  • Nashua, NH
National Provider Identifier
1053406751
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
11962 Issued in NH
Practice address
383 E Dunstable Rd
Nashua, NH 03062-4216
Phone
(603) 891-0083
Fax
(603) 891-0847
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 11962 NH Primary

Addresses

Primary practice location

383 E Dunstable Rd
Nashua, NH 03062-4216

Mailing address

383 E Dunstable Rd
Nashua, NH 03062-4216
Phone (603) 891-0083

Other identifiers 1

IdentifierTypeStateIssuer
30203590MedicaidNH

Other names 1

  • Ms. Cara Charron Douville Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120921000444 NH Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2264449636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11962NHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc PastSince Sep 1, 2015 Accepting new patients
Foundation Medical Partners Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ckaupp6819@direct.solutionhealth.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053406751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 E DUNSTABLE RD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030624216",
            "telephone_number": "603-891-0083",
            "fax_number": "603-891-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 E DUNSTABLE RD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030624216",
            "telephone_number": "603-891-0083",
            "fax_number": "603-891-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUPP",
        "first_name": "CARA",
        "middle_name": "DOUVILLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "11962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30203590",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "DOUVILLE",
            "middle_name": "CHARRON",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.