Individual provider Active NPI

Monica L Capille, MHA,RD,LDN

  • Registered Dietitian
  • Boca Raton, FL
National Provider Identifier
1952987935
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND5829 Issued in FL
Practice address
3321 NW 61St St
Boca Raton, FL 33496
Phone
(786) 203-9130
NPI assigned
Mar 22, 2021
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20210426001017 FL Practitioner - Registered Dietitian Or Nutrition Professional 1951719368 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND5829FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Dietvana PLLC Dietitian, Registered CurrentSince Mar 22, 2021 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.

Verify at the official NPI Registry.