Active NPI
Juliet A Capp, ARNP
- Nurse Practitioner
- Yakima, WA
National Provider Identifier
1609881085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30003556
- Practice address
- 120 S. 72ND Ave
Suite 102
Yakima, WA 98908-4200 - Phone
- (509) 972-1259
- Fax
- (509) 972-1258
- NPI assigned
- Jul 31, 2006
- 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 | AP30003556 | WA | Primary |
Addresses
Primary practice location
120 S. 72ND Ave
Suite 102
Yakima, WA 98908-4200
Mailing address
3800 Summitview Ave
Yakima, WA 98902-2715
Phone (509) 972-1259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9614280 | Medicaid | WA |
Other names 1
- Juliet Acob
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Emergency Group a Professional Limited Liability Com | Nurse Practitioner | Past | Accepting new patients |
| Yakima Valley Memorial Physicians | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Yakima, WA
- NPI 1275843880
Nurse Practitioner
-
- Multi-Specialty Clinic/Center
- Yakima, WA
- NPI 1154930543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1609881085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 SUMMITVIEW AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022715",
"telephone_number": "509-972-1259",
"fax_number": "509-972-1258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S. 72ND AVE",
"address_2": "SUITE 102",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989084200",
"telephone_number": "509-972-1259",
"fax_number": "509-972-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPP",
"first_name": "JULIET",
"middle_name": "A",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30003556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9614280",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIET",
"last_name": "ACOB",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.