Brandiekay LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BRANDIEKAY LLC

Practice address

2131 William St
Cape Girardeau, MO 63703-5817

Phone

(573) 803-0919

Fax

(573) 803-0879

NPI assigned

Jun 21, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Debbie Evans, FNP

Title

Operations Manager

Phone

(573) 803-0919

Specialties & licenses 1

Addresses

Other names 1

• Cape Medical Weight Loss and Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah A Evans, APRN,BC, FNP

  • Adult Health Nurse Practitioner
  • Cape Girardeau, MO
  • NPI 1366497604
  Medicare reassignment NPD
• Laura Jane Murphy, APRN, FNP-BC

  • Family Nurse Practitioner
  • Cape Girardeau, MO
  • NPI 1578814398
  Medicare reassignment NPD

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1508350638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 WILLIAM ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035817",
            "telephone_number": "573-803-0919",
            "fax_number": "573-803-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 WILLIAM ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035817",
            "telephone_number": "573-803-0919",
            "fax_number": "573-803-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDIEKAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "573-803-0919",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Medical Weight Loss and Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aidan Brady
• Samantha Renee Braeuner, LCSW
• Spencer Michael Bragg
• Brain and Neurospine Clinic of Missouri
• Branch and Bloom Psychiatry, LLC
• Chad Nicholas Brandon, PTA
• Teresa Kathleen Brandon, FNP
• Dana C Branson, LCSW, CASAC
• Glenn Alan Branson, O.D.
• Mandy Lyn Brantley, MSW, LCSW

• Family Nurse Practitioner in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.