Tara Kapitan, BS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

238 Jewett Ave
Bridgeport, CT 06606-2845

Phone

(203) 372-4301

Fax

(203) 373-0835

NPI assigned

Nov 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1558697102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 JEWETT AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062845",
            "telephone_number": "203-372-4301",
            "fax_number": "203-373-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 JEWETT AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062845",
            "telephone_number": "203-372-4301",
            "fax_number": "203-373-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPITAN",
        "first_name": "TARA",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004040655",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greeshmasree Kambam, MBBS, MPH
• Shpetim Kamberi, PHARM.D.
• Irena Kandybowicz
• Kevin M Kane-Bratchell, LPC
• Vivian Moraes Kannemeyer, LMFT
• Daniel Kaplan, PA
• Jeffrey N Kaplan I, MD
• Aaryan Manish Kapoor, M.D.
• Lalit Kapoor, DDS
• Ellen Lynn Karandisecky, D.D.S.

• Student in an Organized Health Care Education/Training Program in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Student in an Organized Health Care Education/Training Program in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.