Active NPI
Shaqueen Kincaid
- Psychiatric/Mental Health Registered Nurse
- Morganton, NC
National Provider Identifier
1134724941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 177797
- Practice address
- 304 W Union St
Morganton, NC 28655-3729 - Phone
- (828) 475-6199
- NPI assigned
- Dec 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 Registered Nurse | 163WP0808X | 177797 | NC | Primary |
Addresses
Primary practice location
304 W Union St
Morganton, NC 28655-3729
Mailing address
PO Box 181
Morganton, NC 28680-0181
Phone (828) 389-1950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177797 | NC | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1134724941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 181",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286800181",
"telephone_number": "828-389-1950",
"fax_number": "828-475-6197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 W UNION ST",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286553729",
"telephone_number": "828-475-6199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINCAID",
"first_name": "SHAQUEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NC",
"license": "177797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.