KATHLEEN D CAPRIOLA (NPI# 1710975891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710975891 |
| Entity Type | Individual |
| Full Name | KATHLEEN D CAPRIOLA |
| Credential | APN |
| Practice Address |
612 Roxbury Rd Rockford IL 61107-5089 |
| Practice Telephone | 8152278300 |
| Practice Fax Number | 8152278301 |
| Mailing Telephone | 8152278300 |
| Mailing Fax Number | 8152278301 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2011-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041258611 | IL | Nursing Service Providers |
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
209003505 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 1616108 | 01 |
| IL | RAILROAD MEDICARE | P00605030 | 01 |
| Street Address |
612 ROXBURY RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-5089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104827427 | James Stim | Internal Medicine | 612 Roxbury Rd, Rockford, IL 61107-5089 | 2005-08-09 |
| 1336768662 | Jessica Weiland | Nurse Practitioner | 612 Roxbury Rd, Rockford, IL 61107-5089 | 2020-04-16 |
| 1518433564 | Laquisha M Thompson | Internal Medicine | 612 Roxbury Rd, Rockford, IL 61107-5089 | 2018-10-17 |
| 1063993731 | Lilia Avila | Nurse Practitioner | 612 Roxbury Rd, Rockford, IL 61107-5089 | 2018-08-22 |
| 1326526716 | Muamer Mulasmajic | Internal Medicine | 612 Roxbury Rd, Rockford, IL 61107-5089 | 2018-07-30 |
| 1598216657 | Stephanie Michelle Gile | Nurse Practitioner | 612 Roxbury Rd, Rockford, IL 61107-5089 | 2016-10-24 |
| 1992961593 | Charlene D Murdakes | Internal Medicine | 612 Roxbury Rd, Rockford, IL 61107-5089 | 2008-08-03 |
| 1336326388 | Rna of Rockford, LLC | Internal Medicine | 612 Roxbury Rd, Rockford, IL 61107 | 2008-01-22 |
| 1043418908 | Nephrology Associates of Northern Illinois Ltd | Internal Medicine | 612 Roxbury Rd, Rockford, IL 61107-5089 | 2007-07-03 |
| 1699715706 | Jacqueline G May | Registered Nurse | 612 Roxbury Rd, Rockford, IL 61107-5089 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578006953 | Christine Anne Anderson | Clinical Nurse Specialist | 5666 E State St, Rockford, IL 61108-2425 | 2016-12-02 |
| 1386050037 | Betty Lou Villiers | Clinical Nurse Specialist | 5666 E State St, Wound Office, Rockford, IL 61108-2425 | 2014-07-02 |
| 1033537352 | Sheila Yvette Standfield | Clinical Nurse Specialist | 5666 E State St, Rockford, IL 61108-2425 | 2014-04-03 |
| 1093137952 | April Faas | Clinical Nurse Specialist | 5666 E State St, Rockford, IL 61108-2425 | 2014-01-13 |
| 1609213628 | Amy K Hill | Clinical Nurse Specialist | 5666 E State St, Rockford, IL 61108-2425 | 2013-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942668355 | Joannne Geralyn Delany | Clinical Nurse Specialist | 13133 Meadowview Ln, Homer Glen, IL 60491-9155 | 2016-02-01 |
| 1033559802 | Shannon L Laesch | Clinical Nurse Specialist | 2005 Jacobssen Dr Ste A, Normal, IL 61761-6288 | 2013-06-26 |
| 1427323898 | Kara Michelle Aalfs | Clinical Nurse Specialist | 6n910 Gilmore Dr, Saint Charles, IL 60175-8314 | 2012-03-18 |
| 1528351962 | Kristi Kae Williams | Clinical Nurse Specialist | 530 Ne Glenoak Avenue Pob Suite 108, Peoria, IL 61603-3117 | 2011-05-18 |
| 1427356336 | Lissa J Diefendorf | Clinical Nurse Specialist | 403 W Corrington Ave, Peoria, IL 61604-2803 | 2011-03-02 |
| 1326354358 | Sheila A Harmon | Clinical Nurse Specialist | 654 East 47th St, Access Booker Family Health Center, Chicago, IL 60653-4224 | 2010-08-27 |
| 1689283723 | Michelle Marie Lovsey | Clinical Nurse Specialist | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2020-07-24 |
| 1053942318 | Mary Sue Dailey | Clinical Nurse Specialist | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2020-01-27 |
| 1316448947 | Cheryl A Pahl | Clinical Nurse Specialist | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-02-28 |
| 1144728155 | Euphemia M Connell | Clinical Nurse Specialist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2018-01-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.