MRS. LUCILLE A CAPO ROME NP NPI 1033262654

NPI Information

NPI: 1033262654
Provider Name: MRS. LUCILLE A CAPO ROME, NP
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

PECOS Registration: Yes

Address:
2225 CHALLENGER WAY
SANTA ROSA, CA
ZIP 95407
Phone: (707) 565-6625
Get Directions

MRS. Lucille A Capo Rome, NP is a psychiatric/mental health and adult registered nurse in Santa Rosa, CA. MRS. Lucille A Capo Rome, NP NPI is 1033262654. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2225 CHALLENGER WAY
SANTA ROSA, CA
ZIP 95407-441
Phone: (707) 565-6625

The NPI 1033262654 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 4/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	6863	CALIFORNIA	No
2	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	497364	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	807779	MEDICARE UPIN	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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