Active NPI
Juanita Capouch, FNP
- Family Nurse Practitioner
- El Paso, TX
National Provider Identifier
1578745998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP115287
- Practice address
- 501 N Yarbrough Dr
El Paso, TX 79915-3240 - Phone
- (915) 595-1844
- Fax
- (915) 599-1953
- NPI assigned
- Nov 27, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP115287 | TX | Primary |
Addresses
Primary practice location
501 N Yarbrough Dr
El Paso, TX 79915-3240
Mailing address
501 N Yarbrough Dr
El Paso, TX 79915-3240
Phone (915) 595-1844
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 297636704 | Medicaid | TX | |
| 130880104 | Medicaid | TX | |
| 265175YLPS | Other | TX | WELLMED PTAN |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP115287 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Valley Family Care Clinic | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- El Paso, TX
- NPI 1811049737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1578745998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N YARBROUGH DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799153240",
"telephone_number": "915-595-1844",
"fax_number": "915-599-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N YARBROUGH DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799153240",
"telephone_number": "915-595-1844",
"fax_number": "915-599-1953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPOUCH",
"first_name": "JUANITA",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP115287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "297636704",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130880104",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMED PTAN",
"identifier": "265175YLPS",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
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- Caprock Home Health Services, Inc.
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- Caprock Home Health Services, Inc.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.