CAPE MEDICAL WEIGHT LOSS AND FAMILY PRACTICE
NPI 1508350638
Nurse Practitioner - Family in Cape Girardeau, MO

Active since June 21, 2018CLIA 26D2157729 · Waiver
2131 WILLIAM ST, CAPE GIRARDEAU, MO 63703(573) 803-0919(573) 803-0879 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 17, 2018, Jun 21, 2018 (2 updates tracked since 2018).

About Cape Medical Weight Loss And Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAPE MEDICAL WEIGHT LOSS AND FAMILY PRACTICE (NPI 1508350638) is a healthcare organization registered as a family in Cape Girardeau, Missouri and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Debbie Evans, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1508350638
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBRANDIEKAY LLC
Location Address2131 WILLIAM STCape Girardeau, MO 63703-5817
Mailing Address2131 William StCape Girardeau, MO 63703-5817 · (573) 803-0919 · Fax (573) 803-0879
Fax(573) 803-0879
Organization SubpartNo
Authorized OfficialDebbie EvansOperations Manager · (573) 803-0919
Enumeration DateJune 21, 2018
Last NPPES UpdateOctober 17, 20182 updates tracked since enumeration
NPI 1508350638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2131 WILLIAM ST, Cape Girardeau, MO 63703

Other Names 1

Doing Business AsCape Medical Weight Loss And Family Practice

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2157729

Cape Medical Weight Loss And Family Practice · Cape Girardeau, MO
Active · expires Nov 12, 2026
CLIA Number26D2157729
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorMark Kasten
Laboratory Phone(573) 803-0919
Laboratory LocationCape Medical Weight Loss And Family Practice2441 Myra Drive, Cape Girardeau, MO 63703
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508350638, enumerated as an "organization" on June 21, 2018.

The provider is located at 2131 WILLIAM ST CAPE GIRARDEAU, MO 63703 and the phone number is (573) 803-0919.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.