Kimberly Ann Cappaert, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

4704231023 Issued in MI

Practice address

2820 College Ave
Escanaba, MI 49829-9591

Phone

(906) 233-1322

Fax

(906) 233-1220

NPI assigned

Jun 15, 2012

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

Other names 1

• Kimberly Ann Boucher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Pathways

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marquette, MI
  • NPI 1487683546
  NPD (past)
• Pathways Community Mental Heatlh

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Escanaba, MI
  • NPI 1558520858
  NPD (past)

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1306108287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 COLLEGE AVE",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498299591",
            "telephone_number": "906-233-1322",
            "fax_number": "906-233-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 COLLEGE AVE",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498299591",
            "telephone_number": "906-233-1322",
            "fax_number": "906-233-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPAERT",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704231023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BOUCHER",
            "middle_name": "ANN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Toni K Buckbee, PA
• Alison F Burch, LBSW
• Angela Burdick, CRNA
• Rebecca Ann Bussineau
• Abraham L Campbell, DO
• Anna Caramella
• Caring Hands of Upper Michigan
• Catherine Carlson, LBSW
• Heather Carlson
• Kathryn Elena Carlson, PMHNP

• Psychiatric/Mental Health Registered Nurse in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Psychiatric/Mental Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.