Provider Demographics
NPI:1780164020
Name:CAPHART, FEETA JANJAY (CNM, WHNP)
Entity type:Individual
Prefix:
First Name:FEETA
Middle Name:JANJAY
Last Name:CAPHART
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 REMSEN AVE APT 4F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-1337
Mailing Address - Country:US
Mailing Address - Phone:240-350-6571
Mailing Address - Fax:
Practice Address - Street 1:14732 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-4082
Practice Address - Country:US
Practice Address - Phone:718-786-5000
Practice Address - Fax:718-291-4214
Is Sole Proprietor?:No
Enumeration Date:2018-08-16
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY421406363LW0102X
NYF001866-1176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health