Active NPI
Maryann Kapacinskas, ARNP
- Psychiatric/Mental Health Clinical Nurse Specialist
- Davenport, IA
National Provider Identifier
1386977387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- G-177880
- Practice address
- 1441 W Central Park Ave
Davenport, IA 52804-1707 - Phone
- (563) 383-1900
- Fax
- (563) 884-4638
- NPI assigned
- Sep 9, 2009
- Last updated
- Nov 14, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 117880 | IA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 041.278848 | IL | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | G-177880 | IA | Primary |
Addresses
Primary practice location
1441 W Central Park Ave
Davenport, IA 52804-1707
Mailing address
1441 W Central Park Ave
Davenport, IA 52804-1707
Phone (563) 383-1900
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.278848 | IL | MD | Psychiatric/Mental Health Registered Nurse |
| G-177880 | IA | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vera French Community Mental Health | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Vera French Clinic at Duck Creek
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bettendorf, IA
- NPI 1568239978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384387200000",
"number": "1386977387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 W CENTRAL PARK AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528041707",
"telephone_number": "563-383-1900",
"fax_number": "563-884-4638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 W CENTRAL PARK AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528041707",
"telephone_number": "563-383-1900",
"fax_number": "563-884-4638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPACINSKAS",
"first_name": "MARYANN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-09",
"last_updated": "2013-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "IA",
"license": "117880",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "IL",
"license": "041.278848",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "IA",
"license": "G-177880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.