Individual provider Active NPI

Ganouse Capricien-Souffrant, RN

  • Registered Nurse
  • Fayetteville, NC
National Provider Identifier
1144134453
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
375467 Issued in NC
Practice address
6314 Nakoma Way
Fayetteville, NC 28306-4551
Phone
(910) 965-1685
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 375467 NC Primary

Addresses

Primary practice location

6314 Nakoma Way
Fayetteville, NC 28306-4551

Mailing address

6314 Nakoma Way
Fayetteville, NC 28306-4551
Phone (910) 965-1685

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1144134453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 NAKOMA WAY",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283064551",
            "telephone_number": "910-965-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 NAKOMA WAY",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283064551",
            "telephone_number": "910-965-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRICIEN-SOUFFRANT",
        "first_name": "GANOUSE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "375467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.