Active NPI
Daniela A Kantcheva, RN,MSN,APRN,BC
- Psychiatric/Mental Health Nurse Practitioner
- Cape Girardeau, MO
National Provider Identifier
1124072350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 140910
- Practice address
- 402 S Silver Springs Rd
Cape Girardeau, MO 63703-7536 - Phone
- (573) 334-1100
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 140910 | MO | Primary |
Addresses
Primary practice location
402 S Silver Springs Rd
Cape Girardeau, MO 63703-7536
Mailing address
402 S Silver Springs Rd
Cape Girardeau, MO 63703-7536
Phone (573) 334-1100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 429463706 | Medicaid | MO | |
| 431823864 | Other | CORPHELATH | |
| 724467 | Other | HEALTHLINK/FREEDOM | |
| 7224467 | Other | HEALTHLINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060109000019 | MO | Practitioner - Nurse Practitioner | 7416970249 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Counseling Center
Practice addresses (Care Compare)
402 S Silver Springs Rd
Cape Girardeau, MO 63703-7536
Phone 57333411002780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling Center | Current | Accepting new patients | |
| New Vision Youth and Family Services Inc | Past | Accepting new patients |
Locations
402 S Silver Springs Rd
Cpe Girardeau, MO 63703
Phone (573) 334-1100
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cape Girardeau, MO
- NPI 1235244757
MO
-
- Professional Counselor
- Cape Girardeau, MO
- NPI 1396950614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1124072350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 S SILVER SPRINGS RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637037536",
"telephone_number": "573-334-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 S SILVER SPRINGS RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637037536",
"telephone_number": "573-334-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANTCHEVA",
"first_name": "DANIELA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "RN,MSN,APRN,BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "140910",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "429463706",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPHELATH",
"identifier": "431823864",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK/FREEDOM",
"identifier": "724467",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "7224467",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.