Ashlie Caputo

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SP030520 Issued in PA

Practice address

105 Vineyard Way Ste 200
West Grove, PA 19390-8849

Phone

(610) 444-7550

NPI assigned

Aug 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashlie.caputo.1@27280.direct.athenahealth.com

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.

• LCH Health and Community Services

  • Federally Qualified Health Center (FQHC)
  • West Grove, PA
  • NPI 1063901205
  Medicare reassignment NPD
• LCH Health and Community Services

  • Federally Qualified Health Center (FQHC)
  • Oxford, PA
  • NPI 1811587512
  NPD
• LCH Health and Community Services

  • Federally Qualified Health Center (FQHC)
  • Kennett Square, PA
  • NPI 1285984476
  NPD (past)

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1700610839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 COVENTRY DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VINEYARD WAY STE 200",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193908849",
            "telephone_number": "610-444-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUTO",
        "first_name": "ASHLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP030520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Brownback, LSW
• Amy Bruner, LAT, ATC
• Sean Burns, LPC
• David M Callahan, D.O.
• Christopher Vincent Campagna, MPT
• Jailis Caraballo
• Christine Diane Cardenas, MSW, LCSW
• Care Physical Therapy & Virtual Rehabilitation
• Tracey Carmellini, M.D.
• Heather Dyan Carrion, CNM

• Pediatric Nurse Practitioner in West Grove, PA
• Providers in West Grove, PA by specialty
• Pediatric Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.

Verify at the official NPI Registry.