Rebecca Ann Capriglione, RN
Individual provider Active NPI Registered Nurse · De Soto, MO
NPI 1962861997 · NPPES record last updated Feb 18, 2016
Key facts
- NPI
- 1962861997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 2004020566 (MO)
- Practice address
- 37 E Lakeshore Dr
De Soto, MO 63020-3924 - Phone
- (314) 686-5414
- NPI assigned
- Feb 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004020566 | MO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2004020566 | MO | Yes |
Addresses
Primary practice location
37 E Lakeshore Dr
De Soto, MO 63020-3924
Mailing address
37 E Lakeshore Dr
De Soto, MO 63020-3924
Phone (314) 686-5414
Other providers in De Soto, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.