MEDICARE: MRS. ELIZABETH CAPE NP

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	363L00000X	Nurse Practitioner	202004196	MO
2	364SE0003X	Emergency Clinical Nurse Specialist	611537	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972787711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH CAPE NP

Provider Business Mailing Address
First Line	:	PO BOX 802843
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64180-2843
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	151 BRIAR RIDGE DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95123-2662
Country	:	US
Telephone Number	:	408-224-0667
Fax Number	:

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

Provider Enumeration Date	:	12/27/2007
Last Update Date	:	06/23/2025

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