Active NPI
Susan Samantha Caporina, L.P.N.
- Licensed Practical Nurse
- Cottontown, TN
National Provider Identifier
1518147453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN0000070079
- Practice address
- 118 Biggs Rd
Cottontown, TN 37048-4633 - Phone
- (615) 285-0201
- NPI assigned
- Nov 8, 2007
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN0000070079 | TN | Primary |
Addresses
Primary practice location
118 Biggs Rd
Cottontown, TN 37048-4633
Mailing address
1001 Banks Dr
Greenbrier, TN 37073-4780
Phone (615) 643-0918
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN0000070079 | TN | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1518147453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 BANKS DR",
"city": "GREENBRIER",
"state": "TN",
"postal_code": "370734780",
"telephone_number": "615-643-0918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 BIGGS RD",
"city": "COTTONTOWN",
"state": "TN",
"postal_code": "370484633",
"telephone_number": "615-285-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPORINA",
"first_name": "SUSAN",
"middle_name": "SAMANTHA",
"credential": "L.P.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-08",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TN",
"license": "LPN0000070079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottontown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.