Active NPI
Zoraida Capllonch
- Specialist
- Prescott, AZ
National Provider Identifier
1669587762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 10922
- Practice address
- 500 North Hwy 89
Bob Stump Northern Arizona VA Medical Center
Prescott, AZ 86313 - Phone
- (180) 094-9100
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 10922 | PR | Primary |
Addresses
Primary practice location
500 North Hwy 89
Bob Stump Northern Arizona VA Medical Center
Prescott, AZ 86313
Mailing address
800 W Forest Meadows St
Apt. 215
Flagstaff, AZ 86001-2902
Phone (928) 774-4292
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10922 | PR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669587762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W FOREST MEADOWS ST",
"address_2": "APT. 215",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860012902",
"telephone_number": "928-774-4292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NORTH HWY 89",
"address_2": "BOB STUMP NORTHERN ARIZONA VA MEDICAL CENTER",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86313",
"telephone_number": "180-094-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPLLONCH",
"first_name": "ZORAIDA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "10922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.