Provider Demographics
NPI:1992564736
Name:CAPEL, BRIANNA SHAUNTE (RN, CEBP, MAED)
Entity type:Individual
Prefix:MS
First Name:BRIANNA
Middle Name:SHAUNTE
Last Name:CAPEL
Suffix:
Gender:F
Credentials:RN, CEBP, MAED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 CLEARVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-3420
Mailing Address - Country:US
Mailing Address - Phone:270-399-5969
Mailing Address - Fax:
Practice Address - Street 1:701 CLEARVIEW DR
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:KY
Practice Address - Zip Code:42431-3420
Practice Address - Country:US
Practice Address - Phone:270-399-5969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4008933171000000X, 251C00000X, 251S00000X, 364SP0812X, 373H00000X, 385HR2055X, 163W00000X, 385HR2060X, 163WC1500X, 163WP0807X
252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No171000000XOther Service ProvidersMilitary Health Care Provider
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No364SP0812XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Community
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Multi-Specialty
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY4008933OtherKBN