Active NPI
Carol Capitano, CNS, APRN
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- Albuquerque, NM
National Provider Identifier
1376500165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- License
- R-34596
- Practice address
- 2600 Marble Ave NE
Albuquerque, NM 87131-0001 - Phone
- (505) 272-2826
- Fax
- (505) 272-4124
- NPI assigned
- Apr 27, 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | R-34596 | NM | Primary |
Addresses
Primary practice location
2600 Marble Ave NE
Albuquerque, NM 87131-0001
Mailing address
13140 Neon Ave NE
Albuquerque, NM 87112-4867
Phone (505) 293-3509
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 Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-34596 | NM | MD | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1376500165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13140 NEON AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871124867",
"telephone_number": "505-293-3509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 MARBLE AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-2826",
"fax_number": "505-272-4124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPITANO",
"first_name": "CAROL",
"credential": "CNS, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "NM",
"license": "R-34596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.