Individual provider Active NPI

Jennifer Ann Capizzi Garand, PA-C

  • Family Medicine Physician
  • Casa Grande, AZ
National Provider Identifier
1881840973
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6252 Issued in AZ
Practice address
1683 E Florence Blvd
Suite 7
Casa Grande, AZ 85122-4812
Phone
(520) 876-0800
Fax
(520) 876-0801
NPI assigned
Aug 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6252 AZ Primary
Internal Medicine Physician 207R00000X 50.001127 OH

Addresses

Primary practice location

1683 E Florence Blvd
Suite 7
Casa Grande, AZ 85122-4812

Mailing address

1683 E Florence Blvd
Suite 7
Casa Grande, AZ 85122-4812
Phone (520) 876-0800

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6252AZMDDentist
50.001127OHMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1881840973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1683 E FLORENCE BLVD",
            "address_2": "SUITE 7",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224812",
            "telephone_number": "520-876-0800",
            "fax_number": "520-876-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 E FLORENCE BLVD",
            "address_2": "SUITE 7",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224812",
            "telephone_number": "520-876-0800",
            "fax_number": "520-876-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPIZZI GARAND",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "6252",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "50.001127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.