Katherine Elaine Cancel, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11000097 Issued in FL

Practice address

802 W Dr Martin Luther King Jr Blvd Ste D
Plant City, FL 33563-5105

Phone

(727) 754-1496

Fax

(813) 754-2553

NPI assigned

Dec 10, 2018

Last updated

Dec 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Learning to Achieve Wellness IncGroup PAC ID 9234514464, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Patients First Home Care LLC Home health agency, Bradenton, FL, CCN 687173

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Learning to Achieve Wellness Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brandon, FL
  • NPI 1033849575

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Ashit K Vijapura MD PA

  • Psychiatry Physician
  • Plant City, FL
  • NPI 1154517068

  Multi-Specialty

  Medicare reassignment NPD
• Nxpath Psychiatry LLC

  • Psychiatry Physician
  • Stuart, FL
  • NPI 1134992688

  Multi-Specialty

  Medicare reassignment NPD
• Mobile Optix PLLC

  • Optometrist
  • Tampa, FL
  • NPI 1346809480

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Patients First Home Care, LLC

  • Home Health Agency
  • Sarasota, FL
  • NPI 1245845312
  Care Compare affiliation
• Patients First Home Care, LLC

  • Home Health Agency
  • Bradenton, FL
  • NPI 1578252615
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1144791690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W DR MARTIN LUTHER KING JR BLVD STE D",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335635105",
            "telephone_number": "727-754-1496",
            "fax_number": "813-754-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W DR MARTIN LUTHER KING JR BLVD STE D",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335635105",
            "telephone_number": "727-754-1496",
            "fax_number": "813-754-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCEL",
        "first_name": "KATHERINE",
        "middle_name": "ELAINE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11000097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF DRIVERS LICENSE",
            "identifier": "C524-505-87-771-1",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Cabral, BCBA
• Amber Cahill, MS, CF-SLP
• Lamon P Caldwell II, MSW/MDIV
• Tara M Calise, ARNP
• Leonila D Camba, M.D.
• Candis Counseling & Therapeutic Services LLC
• Candace Lynn Cannon
• Jethro Angelo Capati
• Tiffany Michelle Capers
• Mildred Enid Caraballo

• Psychiatric/Mental Health Nurse Practitioner in Plant City, FL
• Providers in Plant City, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.

Verify at the official NPI Registry.