Tiffany Capps, BSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041319773 Issued in IL

Practice address

4000 S. Water Tower PL
Mt. Vernon, IL 62864

Phone

(618) 246-2910

Fax

(618) 242-8240

NPI assigned

Nov 22, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1144939778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N DOGWOOD ST",
            "city": "BELLE RIVE",
            "state": "IL",
            "postal_code": "628101269",
            "telephone_number": "618-237-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S. WATER TOWER PL",
            "city": "MT. VERNON",
            "state": "IL",
            "postal_code": "62864",
            "telephone_number": "618-246-2910",
            "fax_number": "618-242-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPS",
        "first_name": "TIFFANY",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041319773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tiffany.capps@va.gov",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Marion VAMC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4000 S. Water Tower Pl",
            "city": "Mt. Vernon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Byrd-Watson Times Square Drug Co
• Byrd-Watson Times Square Drug Co
• Thomas J. Cain, CRNA
• Patricia Isabel Calcetto, CRNA
• Hannah Capps, MHP
• Caravilla Residential Centers, Inc
• Caravilla Residential Centers, Inc
• Caravilla Residential Centers, Inc
• Hope Ellen Carbonaro, MSW LCSW
• Cardiovascular Specialists of Illinois LTD

• Registered Nurse in Mt. Vernon, IL
• Providers in Mt. Vernon, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.