Individual provider Active NPI

Jennifer Carapia, MSN

  • Family Nurse Practitioner
  • South Bend, IN
National Provider Identifier
1477977437
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28175466A Issued in IN
Practice address
1901 W Western Ave Ste B
South Bend, IN 46619-3570
Phone
(574) 234-9033
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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 28175466A IN Primary

Addresses

Primary practice location

1901 W Western Ave Ste B
South Bend, IN 46619-3570

Mailing address

1105 W Rose St
South Bend, IN 46616-1816
Phone (574) 318-2370

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
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
28175466AINMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jennifer.carapia.1@14940.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1477977437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W ROSE ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466161816",
            "telephone_number": "574-318-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W WESTERN AVE STE B",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466193570",
            "telephone_number": "574-234-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAPIA",
        "first_name": "JENNIFER",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28175466A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.