Active NPI
Amalia Quintanilla Capawana
- Registered Nurse
- Camp Lejeune, NC
National Provider Identifier
1497578967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 219900
- Practice address
- Naval Hospital Annex Nh200
Camp Lejeune, NC 28547 - Phone
- (910) 450-3171
- Fax
- (910) 450-4783
- NPI assigned
- Nov 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 219900 | NC | Primary |
Addresses
Primary practice location
Naval Hospital Annex Nh200
Camp Lejeune, NC 28547
Mailing address
100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone (910) 450-3171
Other names 1
- Amalia Quintanilla Capawana
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219900 | NC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1497578967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BREWSTER BLVD",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "285472575",
"telephone_number": "910-450-3171",
"fax_number": "910-450-4783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL ANNEX NH200",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "28547",
"telephone_number": "910-450-3171",
"fax_number": "910-450-4783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPAWANA",
"first_name": "AMALIA",
"middle_name": "QUINTANILLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "219900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMALIA",
"last_name": "CAPAWANA",
"middle_name": "QUINTANILLA",
"credential": "RN CASE MANAGER",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Camp Lejeune, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.