Capital Nephrology Clinic, P.a.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME113752 Issued in FL

Legal business name

CAPITAL NEPHROLOGY CLINIC, P.A.

Practice address

1845 Jaclif CT
Tallahassee, FL 32308

Phone

(850) 999-2328

Fax

(850) 320-6114

NPI assigned

Jul 8, 2016

Organization subpart

No

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

Authorized official

Name

Rita F Hoffman

Title

Credentialing Manager

Phone

(850) 444-4700

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CADACD

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Violeta Alvarez Retamales, MD

  • Nephrology Physician
  • Jacksonville, FL
  • NPI 1013401090

  FL, Nephrology

  Medicare reassignment Care Compare group NPD
• Natasha Monique Hester, ARNP

  • Family Nurse Practitioner
  • Tallahassee, FL
  • NPI 1235612821

  FL

  Medicare reassignment Care Compare group NPD
• Hiren Jagdish Joshi, MD

  • Nephrology Physician
  • Tallahassee, FL
  • NPI 1316268469

  FL, GA, Nephrology

  Medicare reassignment Care Compare group NPD
• Latomia Aikens, ARNP

  • Family Nurse Practitioner
  • Tallahassee, FL
  • NPI 1073096657

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1801248356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 JACLIF CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084430",
            "telephone_number": "850-999-2328",
            "fax_number": "850-320-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 JACLIF CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-999-2328",
            "fax_number": "850-320-6114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1641 Mahan Center Blvd",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "32308",
            "country_code": "US",
            "telephone_number": "850-459-8956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1641 Mahan Center Blvd",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "32308",
            "country_code": "US",
            "telephone_number": "850-459-8956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPITAL NEPHROLOGY CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "850-444-4700"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME113752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018119800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME113752",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Capital Health Plan, Inc,
• Capital Injury Group, LLC
• Capital Medical and Surgical Inc.
• Capital Medical Clinic, LLC
• Capital Medical Corporation
• Capital Neurosurgery, PL
• Capital Nutrition Services
• Capital Pediatrics LLC
• Capital Premier Women'S Health, PA
• Capital Psychology Consultants, LLC

• All providers in Tallahassee, FL
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.

Verify at the official NPI Registry.