Individual provider Active NPI

Beverly Capili, NP

  • Family Nurse Practitioner
  • King George, VA
National Provider Identifier
1497264253
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024180705 Issued in VA
Practice address
11458 Kings Hwy
King George, VA 22485-4200
Phone
(540) 775-2284
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10611 AZ
Family Nurse Practitioner 363LF0000X 0024180705 VA Primary

Addresses

Primary practice location

11458 Kings Hwy
King George, VA 22485-4200

Mailing address

11458 Kings Hwy
King George, VA 22485-4200
Phone (540) 775-2284

Other practice location 1

1201 S Hayes St
Arlington, VA 22202-2700
Phone (703) 418-3790

Other practice location 2

6622 East Carondelet Drive
tucson, AZ 85710
Phone (520) 818-8477

Other names 1

  • Beverly Gay Laggui Aquino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210525002123 DC Practitioner - Nurse Practitioner 9931465432 Reassigns benefits to 1 organization
I20210601001276 VA Practitioner - Nurse Practitioner 9931465432 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Apr 29, 2021 Accepting new patients
David Engelsberg MD PC PastSince Oct 30, 2017 Accepting new patients

Locations

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

1201 S Hayes St
Arlington, VA 22202
Phone (703) 418-3790

11458 Kings Hwy
King George, VA 22485
Phone (540) 775-2284

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

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.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1497264253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11458 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224854200",
            "telephone_number": "540-775-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11458 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224854200",
            "telephone_number": "540-775-2284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Hayes St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222022700",
            "country_code": "US",
            "telephone_number": "703-418-3790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6622 East Carondelet Drive",
            "address_purpose": "LOCATION",
            "city": "tucson",
            "state": "AZ",
            "postal_code": "85710",
            "country_code": "US",
            "telephone_number": "520-818-8477",
            "fax_number": "520-333-3122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPILI",
        "first_name": "BEVERLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10611",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY GAY",
            "last_name": "AQUINO",
            "middle_name": "LAGGUI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in King George, VA

Sources for this page

Verify at the official NPI Registry.