Individual provider Active NPI

Capri Kaye Dix, FNP

  • Family Nurse Practitioner
  • Orchard Park, NY
National Provider Identifier
1467087015
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345690 Issued in NY
Practice address
3670 S Benzing Rd Ste a
Orchard Park, NY 14127-1741
Phone
(716) 662-5357
NPI assigned
Mar 4, 2020
Last updated
Jul 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 345690 NY Primary

Addresses

Primary practice location

3670 S Benzing Rd Ste a
Orchard Park, NY 14127-1741

Mailing address

5686 Griswold Rd
Byron, NY 14422-9605
Phone (585) 993-0654

Other practice location 1

5686 Griswold Rd
Byron, NY 14422-9605
Phone (585) 993-0654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200828001452 NY Practitioner - Nurse Practitioner 6608293188 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Erie Mental Health Services IncGroup PAC ID 5496707945, 33 clinicians

Practice addresses (Care Compare)

1526 Walden Ave
Suite 400
Cheektowaga, NY 14225-4985
Phone (716) 895-7167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
345690NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henrietta Psychiatric NP Care, PLLC CurrentSince Jun 8, 2023 Accepting new patients
Mid Erie Mental Health Services Inc CurrentSince Aug 1, 2023 Accepting new patients
Orchard Park Family Practice, PC CurrentSince Jul 20, 2020 Accepting new patients

Locations

463 William St
Buffalo, NY 14204
Phone (716) 852-0383

1526 Walden Ave
Ste 400
Cheektowaga, NY 14225
Phone (716) 895-7167

3670 S Benzing Rd
Ste A
Orchard Park, NY 14127
Phone (716) 662-5357

250 Lucius Gordon Dr
Ste 2
West Henrietta, NY 14586
Phone (585) 471-3407

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1467087015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5686 GRISWOLD RD",
            "city": "BYRON",
            "state": "NY",
            "postal_code": "144229605",
            "telephone_number": "585-993-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 S BENZING RD STE A",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271741",
            "telephone_number": "716-662-5357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5686 Griswold Rd",
            "address_purpose": "LOCATION",
            "city": "Byron",
            "state": "NY",
            "postal_code": "144229605",
            "country_code": "US",
            "telephone_number": "585-993-0654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIX",
        "first_name": "CAPRI",
        "middle_name": "KAYE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.