Andrea Kincade

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2021050217 Issued in MO

Practice address

1100 Renfrew LN S
O Fallon, MO 63366-4582

Phone

(678) 665-1563

NPI assigned

Dec 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1013676360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 RENFREW LN S",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 RENFREW LN S",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664582",
            "telephone_number": "678-665-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCADE",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2021050217",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA002360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soheel Ahmad Khan, PHARM.D.
• Ellen Elizabeth Kilkenny
• Austen Taylor Killian, DC
• Megan Kim
• So Kim, FNP-C
• Jacob King, DPT
• Melissa King, DDS
• Zachary T Kingston, ATC
• Sarah Kistenmacher, M.S. CF-SLP
• Dale J Klein, MD

• Occupational Therapy Assistant in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.