Active NPI
Monica L Capille, MHA,RD,LDN
- Registered Dietitian
- Boca Raton, FL
National Provider Identifier
1952987935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND5829
- Practice address
- 3321 NW 61St St
Boca Raton, FL 33496 - Phone
- (786) 203-9130
- NPI assigned
- Mar 22, 2021
- Last updated
- Mar 29, 2021
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND5829 | FL | Primary |
Addresses
Primary practice location
3321 NW 61St St
Boca Raton, FL 33496
Mailing address
3221 NW 61St St
Boca Raton, FL 33496-3367
Phone (786) 203-9130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND5829 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dietvana PLLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
301 E Yamato Rd
Ste 1240
Boca Raton, FL 33431
Phone (561) 305-2607
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1952987935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3221 NW 61ST ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334963367",
"telephone_number": "786-203-9130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3321 NW 61ST ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33496",
"telephone_number": "786-203-9130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPILLE",
"first_name": "MONICA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MHA,RD,LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND5829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.