NPIMap

Individual provider Active NPI

Margaret Ann Capucini, APRN

  • Family Nurse Practitioner
  • Simpsonville, SC
National Provider Identifier
1255300539
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3874 Issued in SC
Practice address
698 Fairview Rd
LTC Health Solutions
Simpsonville, SC 29680-6708
Phone
(401) 770-1669
Fax
(401) 216-0606
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP00248 OH
Family Nurse Practitioner 363LF0000X 3874 SC Primary

Addresses

Primary practice location

698 Fairview Rd
LTC Health Solutions
Simpsonville, SC 29680-6708

Mailing address

1624 Main Street
Agape Senior Primary Care, Inc., Dba LTC Health Solutio
Columbia, SC 29201
Phone (803) 454-0365

Other identifiers 3

IdentifierTypeStateIssuer
P00762653OtherOHRRMC
2348516MedicaidOH
P00254124OtherOHRRMC

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP00248OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Northwest Ohio Cardiology Consultants, LLC Past Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients
Northwest Ohio Cardiology Consultants PC Past Accepting new patients
North Central Family Physicians, Inc Past Accepting new patients
Hardeeville Hospitalists, LLC Past Accepting new patients
The Bellevue Hospital Past Accepting new patients

Organizations & group practices 6

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1255300539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 MAIN STREET",
            "address_2": "AGAPE SENIOR PRIMARY CARE, INC., DBA LTC HEALTH SOLUTIO",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-454-0365",
            "fax_number": "803-404-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 FAIRVIEW RD",
            "address_2": "LTC HEALTH SOLUTIONS",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806708",
            "telephone_number": "401-770-1669",
            "fax_number": "401-216-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUCINI",
        "first_name": "MARGARET",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP00248",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00762653",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2348516",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00254124",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.