Active NPI
Beth Ann Kincaid, MOT, OTR/L
- Contractor
- Goodyear, AZ
National Provider Identifier
1154557221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 4369
- Practice address
- 1751 N Litchfield Rd
Apt 1144
Goodyear, AZ 85395-2259 - Phone
- (317) 908-0202
- NPI assigned
- Jun 3, 2009
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 4369 | AZ | Primary |
Addresses
Primary practice location
1751 N Litchfield Rd
Apt 1144
Goodyear, AZ 85395-2259
Mailing address
442 N 10TH Ave
Beech Grove, IN 46107-1102
Phone (317) 908-0202
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 |
|---|---|---|---|
| 4369 | AZ | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243987200000",
"number": "1154557221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "442 N 10TH AVE",
"city": "BEECH GROVE",
"state": "IN",
"postal_code": "461071102",
"telephone_number": "317-908-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 N LITCHFIELD RD",
"address_2": "APT 1144",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952259",
"telephone_number": "317-908-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINCAID",
"first_name": "BETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-03",
"last_updated": "2009-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AZ",
"license": "4369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.