Active NPI
Stephanie Capps, APRN
- Critical Care Pediatric Nurse Practitioner
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pediatric Nurse Practitioner
- License
- 1842
- Practice address
- 114 Woodland St
Nicu
Hartford, CT 06105-1208 - Phone
- (860) 714-4404
- Fax
- (860) 714-8218
- NPI assigned
- Jul 26, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 001842 | CT | |
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | 1842 | CT | Primary |
Addresses
Primary practice location
114 Woodland St
Nicu
Hartford, CT 06105-1208
Mailing address
114 Woodland St
Nicu
Hartford, CT 06105-1208
Phone (860) 714-4404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004197712 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001842 | CT | MD | Surgical Physician Assistant |
| 1842 | CT | MD | Critical Care Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Children'S Specialty Group, Inc. | Current | Accepting new patients | |
| Day Kimball Medical Group Inc | Current | Accepting new patients | |
| Connecticut Children'S Specialty Group, Inc. | Current | Accepting new patients |
Locations
132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331
320 Pomfret St
#2
Putnam, CT 06260
Interoperability endpoints
- scapps7377@connecticutchildrens.direct-ci.com
- https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Hartford, CT
- NPI 1669448882
-
- Family Medicine Physician
- Putnam, CT
- NPI 1376813972
-
- Ophthalmology Physician
- Glastonbury, CT
- NPI 1568056984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406678400000",
"number": "1477553972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 WOODLAND ST",
"address_2": "NICU",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051208",
"telephone_number": "860-714-4404",
"fax_number": "860-714-8218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 WOODLAND ST",
"address_2": "NICU",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051208",
"telephone_number": "860-714-4404",
"fax_number": "860-714-8218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPPS",
"first_name": "STEPHANIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2014-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "CT",
"license": "001842",
"primary": false
},
{
"code": "363LP0222X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics, Critical Care",
"state": "CT",
"license": "1842",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004197712",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.