Organization Active NPI

Keith J. Capone, MD, LLC

  • Pediatrics Physician
  • New Orleans, LA
National Provider Identifier
1376949768
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KEITH J. CAPONE, MD, LLC
Practice address
6517 Spanish Fort Blvd
New Orleans, LA 70124-4321
Phone
(504) 283-7306
Fax
(504) 283-7308
NPI assigned
Nov 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Mrs. Brandi Doty
Title
Bookkeeper/Manager
Phone
(985) 626-0855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

6517 Spanish Fort Blvd
New Orleans, LA 70124-4321

Mailing address

6517 Spanish Fort Blvd
New Orleans, LA 70124-4321

Other identifiers 1

IdentifierTypeStateIssuer
1385999MedicaidLA

Other names 1

  • Lakevista Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

6517 Spanish Fort Blvd
New Orleans, LA 70124
Phone (504) 283-7306

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1376949768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6517 SPANISH FORT BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701244321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 SPANISH FORT BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701244321",
            "telephone_number": "504-283-7306",
            "fax_number": "504-283-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH J. CAPONE, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "DOTY",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "BOOKKEEPER/MANAGER",
        "authorized_official_telephone_number": "985-626-0855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1385999",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakevista Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.