MEDICARE: MOIRA CAPELA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	53-85429-081	KS

General Provider Information

NPI Number	:	1063350734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOIRA CAPELA

Provider Business Mailing Address
First Line	:	25055 W VALLEY PKWY STE 220
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66061-8450
Country	:	US
Telephone Number	:	913-378-1061
Fax Number	:	913-904-1399

Provider Business Practice Location Address
First Line	:	25055 W VALLEY PKWY STE 220
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66061-8450
Country	:	US
Telephone Number	:	913-378-1061
Fax Number	:	913-904-1399

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “ MOIRA CAPELA ” Practice Location

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