Kelly Rose Caputo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704342678 Issued in MI

Practice address

4350 Jackson Rd Ste 260
Ann Arbor, MI 48103-1896

Phone

(734) 434-3007

NPI assigned

Jul 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allergy & Immunology Associates of Ann Arbor, P.C.

  • Allergy Physician
  • Ypsilanti, MI
  • NPI 1568671972
  NPD (past)

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1992542989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 JACKSON RD STE 370",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031896",
            "telephone_number": "734-434-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 JACKSON RD STE 260",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031896",
            "telephone_number": "734-434-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUTO",
        "first_name": "KELLY",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704342678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lauren Capizzo, DMD
• Deborah Caplan, NP
• Michael J Caplan, MD
• Anne Marie Capling I, LMSW
• Edward Robert Capps, CRNA
• Raymond George Capwell Jr., CRNA
• Megan Elizabeth Veresh Caram, M.D.
• Loretta Ann Carbone, MSW
• Robert Gabriel Cardella, PHARMD
• Tracie Cardella, PA-C

• Family Nurse Practitioner in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.