Active NPI
Susan Elizabeth Capanno, NP
- Adult Health Nurse Practitioner
- Boston, MA
National Provider Identifier
1356483820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 154616
- Practice address
- 55 Fruit St.
Massachusetts General Hospital Cox 630
Boston, MA 02114 - Phone
- (617) 726-6037
- Fax
- (617) 726-8851
- NPI assigned
- Feb 13, 2007
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 154616 | MA | Primary |
Addresses
Primary practice location
55 Fruit St.
Massachusetts General Hospital Cox 630
Boston, MA 02114
Mailing address
55 Fruit St.
Massachusetts General Hospital Cox 630
Boston, MA 02114
Phone (617) 726-6037
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154616 | MA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356483820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT ST.",
"address_2": "MASSACHUSETTS GENERAL HOSPITAL COX 630",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-726-6037",
"fax_number": "617-726-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST.",
"address_2": "MASSACHUSETTS GENERAL HOSPITAL COX 630",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-726-6037",
"fax_number": "617-726-8851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPANNO",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "154616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
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.