Individual provider Active NPI

Jay Patrice Capan, RN, PHCNS-BC

  • Community Health/Public Health Clinical Nurse Specialist
  • Denton, TX
National Provider Identifier
1265435705
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health/Public Health Clinical Nurse SpecialistTaxonomy code 364SC1501X
License
242271 Issued in TX
Practice address
3537 S I-35 E
Suite 210
Denton, TX 76210-6800
Phone
(940) 381-2313
NPI assigned
May 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health/Public Health Clinical Nurse Specialist 364SC1501X 242271 TX Primary

Addresses

Primary practice location

3537 S I-35 E
Suite 210
Denton, TX 76210-6800

Mailing address

3537 S I-35 E
Suite 210
Denton, TX 76210-6800
Phone (940) 381-2313

Other identifiers 1

IdentifierTypeStateIssuer
120096607MedicaidTX

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
Certified Nurse Specialist, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1265435705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 S I-35 E",
            "address_2": "SUITE 210",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106800",
            "telephone_number": "940-381-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 S I-35 E",
            "address_2": "SUITE 210",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106800",
            "telephone_number": "940-381-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPAN",
        "first_name": "JAY",
        "middle_name": "PATRICE",
        "name_prefix": "Mrs.",
        "credential": "RN, PHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-28",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "TX",
            "license": "242271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120096607",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.