Kristilee Caryl Cappaert

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

149.021037 Issued in IL

Practice address

1910 E Kimberly Rd Ste 314
Davenport, IA 52807-2033

Phone

(563) 386-4004

Fax

(563) 386-4026

NPI assigned

Dec 16, 2019

Last updated

Mar 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kristi Cappaert Lisw, LCSW

  • Professional Counselor
  • Bettendorf, IA
  • NPI 1821950791
  NPD Authorized official

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1376181883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 KIMBERLY RD SUITE 10N",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222033",
            "telephone_number": "092-356-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 E KIMBERLY RD STE 314",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072033",
            "telephone_number": "563-386-4004",
            "fax_number": "563-386-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPAERT",
        "first_name": "KRISTILEE",
        "middle_name": "CARYL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IA",
            "license": "008203",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "149.021037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Canright, DPT
• Robin Richard Canterbury, D.C.
• Bobbi Lynn Cantu
• Jenna Capesius, LMSW
• Jillian Cappaert, DPT
• Anthony Joseph Carbone, MD, MPH
• Cardiovascular Medicine PLLC
• Caring Communities Transportation LLC
• Caring Dermatology Center PC
• Beth Carlson, CNM

• Professional Counselor in Davenport, IA
• Providers in Davenport, IA by specialty
• Professional Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.