Individual provider Active NPI

Nicole M. Capodieci, APRN

  • Family Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1508464934
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009487 Issued in FL
Practice address
1425 S Congress Ave
Delray Beach, FL 33445-6384
Phone
(561) 330-9363
NPI assigned
Oct 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 11009487 FL Primary

Addresses

Primary practice location

1425 S Congress Ave
Delray Beach, FL 33445-6384

Mailing address

723 SW 28TH Ave
Boynton Beach, FL 33435-7922
Phone (561) 676-6218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009487FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr GS Urgent Care LLC Single Specialty CurrentSince Oct 24, 2020 Accepting new patients

Locations

1425 S Congress Ave
Delray Beach, FL 33445
Phone (561) 330-9363

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1508464934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 SW 28TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357922",
            "telephone_number": "561-676-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S CONGRESS AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456384",
            "telephone_number": "561-330-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPODIECI",
        "first_name": "NICOLE",
        "middle_name": "M.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.