Individual provider Active NPI

Samuel Charles Cappiello, ANP

  • Adult Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1891925319
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F304166 Issued in NY
Practice address
1160 Chili Ave Ste 200
Rochester, NY 14624-3035
Phone
(585) 426-2990
Fax
(585) 426-4997
NPI assigned
Jul 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F304166 NY Primary

Addresses

Primary practice location

1160 Chili Ave Ste 200
Rochester, NY 14624-3035

Mailing address

118 Deerhurst LN Apt 12
Webster, NY 14580-2741
Phone (585) 545-9354

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F304166NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1891925319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 DEERHURST LN APT 12",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802741",
            "telephone_number": "585-545-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 CHILI AVE STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243035",
            "telephone_number": "585-426-2990",
            "fax_number": "585-426-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPIELLO",
        "first_name": "SAMUEL",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-17",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F304166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.