Active NPI
Virginia Lois Capan, CNM
- Obstetrics & Gynecology Nurse Practitioner
- Portland, OR
National Provider Identifier
1336169911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- Practice address
- 3181 SW Jackson Park Blvd
Oregon Health & Science University
Portland, OR 97239 - Phone
- (503) 418-0980
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | OR | Primary |
Addresses
Primary practice location
3181 SW Jackson Park Blvd
Oregon Health & Science University
Portland, OR 97239
Mailing address
3193 SE Midvale Dr
Corvallis, OR 97333-3104
Phone (541) 207-2286
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 Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67 | CA | MD | Mental Health Counselor |
| 279 | NM | MD | Counseling Psychologist |
| 200550018NMNP-PP | OR | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosebud Indian Health Service | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Rosebud, SD
- NPI 1790955128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336169911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3193 SE MIDVALE DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973333104",
"telephone_number": "541-207-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW JACKSON PARK BLVD",
"address_2": "OREGON HEALTH & SCIENCE UNIVERSITY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-418-0980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPAN",
"first_name": "VIRGINIA",
"middle_name": "LOIS",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.