Provider Demographics
NPI:1134372436
Name:CAPLE, KIMBERLY S (CNM, CRNP)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:S
Last Name:CAPLE
Suffix:
Gender:F
Credentials:CNM, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:
Practice Address - Street 1:35 MONUMENT RD
Practice Address - Street 2:SUITE 202
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5074
Practice Address - Country:US
Practice Address - Phone:717-851-2722
Practice Address - Fax:717-851-3127
Is Sole Proprietor?:No
Enumeration Date:2008-10-30
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010280363LW0102X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2074192OtherHIGHMARK BLUE SHIELD-WMG
PA1586823OtherGATEWAY-WMG
PA2526302OtherHIGHMARK BLUE SHIELD-WMG
PA102230791Medicaid
PA2526302OtherHIGHMARK BLUE SHIELD-FB-WMG
MD963193OtherCAREFIRST MD BCBS
PA178484EZ3Medicare PIN
PA178484FLTMedicare PIN
PA2526302OtherHIGHMARK BLUE SHIELD-FB-WMG
PA138448EZ3Medicare PIN