Individual provider Active NPI

Sari Capilouto, CRNP

  • Gerontology Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1316368475
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-097262 Issued in AL
Practice address
273 Winton M Blount Loop
Montgomery, AL 36117-3507
Phone
(334) 280-1500
Fax
(334) 280-1600
NPI assigned
Dec 16, 2013
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-097262 AL
Gerontology Nurse Practitioner 363LG0600X 1-097262 AL Primary
Registered Nurse 163W00000X 1-097262 AL

Addresses

Primary practice location

273 Winton M Blount Loop
Montgomery, AL 36117-3507

Mailing address

273 Winton M Blount Loop
Montgomery, AL 36117-3507
Phone (334) 280-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140407000870 AL Practitioner - Nurse Practitioner 7416189469 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-097262ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Post-Acute Medical Service 1 PC CurrentSince Aug 12, 2019 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
NM Pacs 2 LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

1555 Hillabee St
Alexander City, AL 35010
Phone (256) 329-0847

280 Mt Hebron Rd
Elmore, AL 36025
Phone (334) 265-7585

1720 Knowles Rd
Phenix City, AL 36869
Phone (334) 291-0485

857 Crawford Ln
Prichard, AL 36617
Phone (251) 433-9801

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1316368475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 WINTON M BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173507",
            "telephone_number": "334-280-1500",
            "fax_number": "334-280-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 WINTON M BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173507",
            "telephone_number": "334-280-1500",
            "fax_number": "334-280-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPILOUTO",
        "first_name": "SARI",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-16",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-097262",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-097262",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-097262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.