Active NPI
Capstone Healthcare,L.L.C
- Family Nurse Practitioner
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- CAPSTONE HEALTHCARE,L.L.C
- Practice address
- 1001 Great Oaks Dr
Daytona Beach, FL 32117-3124 - Phone
- (386) 492-5635
- Fax
- (386) 246-7418
- NPI assigned
- Sep 19, 2015
- Last updated
- Apr 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Roshanda K Ivey
- Title
- MGR
- Phone
- (386) 334-0095
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1001 Great Oaks Dr
Daytona Beach, FL 32117-3124
Mailing address
1001 Great Oaks Dr
Daytona Beach, FL 32117-3124
Phone (386) 492-5635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Capstone Healthcare LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Daytona Beach, FL
- NPI 1124781703
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Daytona Beach, FL
- NPI 1417472242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744761600000",
"number": "1639548621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 GREAT OAKS DR",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321173124",
"telephone_number": "386-492-5635",
"fax_number": "386-246-7418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 GREAT OAKS DR",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321173124",
"telephone_number": "386-492-5635",
"fax_number": "386-246-7418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPSTONE HEALTHCARE,L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-19",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A",
"authorized_official_last_name": "IVEY",
"authorized_official_first_name": "ROSHANDA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "386-334-0095",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.