Active NPI
Judith Claire Cappello, DPM
- Podiatrist
- Columbia, MD
National Provider Identifier
1972689552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00526
- Practice address
- 10700 Charter Drive
Suite 300
Columbia, MD 21014 - Phone
- (410) 730-0970
- Fax
- (410) 730-0161
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00526 | MD | Primary |
Addresses
Primary practice location
10700 Charter Drive
Suite 300
Columbia, MD 21014
Mailing address
1 North Main Street
Bel Air, MD 21014
Phone (410) 803-0788
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 771388600 | Medicaid | MD | |
| H792 | Other | MD | BLUE CROSS |
| E602 | Other | MD | NATIONAL CAP BLUE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1972689552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 NORTH MAIN STREET",
"city": "BEL AIR",
"state": "MD",
"postal_code": "21014",
"telephone_number": "410-803-0788",
"fax_number": "410-803-1859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 CHARTER DRIVE",
"address_2": "SUITE 300",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21014",
"telephone_number": "410-730-0970",
"fax_number": "410-730-0161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPPELLO",
"first_name": "JUDITH",
"middle_name": "CLAIRE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MD",
"license": "00526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "771388600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "H792",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CAP BLUE",
"identifier": "E602",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.