Active NPI
Carol A Capozzi, ARNP
- Nurse Practitioner
- Lake Havasu City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP1385
- Practice address
- 2090 N Smoketree Ave
Lake Havasu City, AZ 86403 - Phone
- (928) 854-1800
- Fax
- (928) 854-1818
- NPI assigned
- Feb 14, 2007
- Last updated
- Oct 22, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP1385 | AZ | Primary |
Addresses
Primary practice location
2090 N Smoketree Ave
Lake Havasu City, AZ 86403
Mailing address
2090 N Smoketree Ave
Lake Havasu City, AZ 86403
Phone (928) 854-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070515000651 | AZ | Practitioner - Nurse Practitioner | 3779579339 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP1385 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| North Country Healthcare Inc | Past | Accepting new patients | |
| Access Health Care LLC | Past | Accepting new patients | |
| North Country Healthcare, Inc. | Past | Accepting new patients | |
| DH Pritchard MD PA | Past | Accepting new patients | |
| Womens Medical Health Center Inc | Nurse Practitioner | Past | Accepting new patients |
Locations
2585 Miracle Mile
Ste 116
Bullhead City, AZ 86442
Phone (928) 219-3300
1120 W University Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 522-1300
2187 N Vickey St
Ste 2
Flagstaff, AZ 86004
Phone (928) 527-1899
2500 N Rose St
Flagstaff, AZ 86004
Phone (928) 213-6121
2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100
2109 Navajo Blvd
Holbrook, AZ 86025
Phone (928) 213-6100
1510 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 753-1177
2090 Smoketree Ave N
Lk Havasu Cty, AZ 86403
Phone (928) 854-1800
2500 E Show Low Lake Rd
Bldg B
Show Low, AZ 85901
Phone (928) 537-4300
2650 E Show Low Lake Rd
Ste 1
Show Low, AZ 85901
Phone (928) 537-4300
488 S Mountain Ave
Springerville, AZ 85938
Phone (928) 333-0127
301 S 7th St
Williams, AZ 86046
Phone (928) 380-2611
620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1073583472
-
- Multi-Specialty Clinic/Center
- Show Low, AZ
- NPI 1073740098
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1619345675
-
- Multi-Specialty Clinic/Center
- Grand Canyon, AZ
- NPI 1891810024
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1053587261
-
dba Flagstaff Pediatric Care
- Pediatrics Physician
- Flagstaff, AZ
- NPI 1669911764
-
- Nurse Practitioner
- Lake Havasu City, AZ
- NPI 1811952047
-
- Internal Medicine Physician
- Lake Panasoffkee, FL
- NPI 1629211677
-
dba Crystal River Primary Care
- Rural Health Clinic/Center
- Crystal River, FL
- NPI 1699901975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382400000000",
"number": "1528101151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 N SMOKETREE AVE",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "86403",
"telephone_number": "928-854-1800",
"fax_number": "928-854-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 N SMOKETREE AVE",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "86403",
"telephone_number": "928-854-1800",
"fax_number": "928-854-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPOZZI",
"first_name": "CAROL",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2013-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP1385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Havasu City, AZ
- C2C Public Safety LLC
- Calming Waters Counseling, PLLC
- Cameron Lundin Dentist LLC (Lundin Dental)
- Taylor Campbell
- Christopher M Cantrell, MSW
- Kristin Lee Carbone-Kebble
- Cardiac and Vascular Associates LLC
- Cardiovascular and Thoracic Solutions PLLC
- Caring Corners, Inc.
- Caring Hearts Assistant Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.