Individual provider Active NPI

Moshe Jonique Kincade, APRN

  • Family Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1407397086
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-77504-072 Issued in KS
Practice address
2835 SW Mission Woods Dr
Topeka, KS 66614-5616
Phone
(785) 271-1818
Fax
(785) 271-7522
NPI assigned
Mar 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-77504-072 KS Primary

Addresses

Primary practice location

2835 SW Mission Woods Dr
Topeka, KS 66614-5616

Mailing address

2835 SW Mission Woods Dr
Topeka, KS 66614
Phone (785) 271-1818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20170612001351 KS Practitioner - Nurse Practitioner 7012285299 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-77504-072KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topeka Physician Group, LLC CurrentSince Mar 24, 2018 Accepting new patients
Topeka Physician Group, LLC CurrentSince Mar 24, 2018 Accepting new patients

Locations

801 SW Fairlawn Rd
Topeka, KS 66606
Phone (785) 228-1700

2641 SW Wanamaker Rd
Ste 100
Topeka, KS 66614
Phone (785) 271-1818

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

1101 SW 29th St
Topeka, KS 66611
Phone (785) 379-4600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1407397086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 SW MISSION WOODS DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66614",
            "telephone_number": "785-271-1818",
            "fax_number": "785-271-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 SW MISSION WOODS DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145616",
            "telephone_number": "785-271-1818",
            "fax_number": "785-271-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCADE",
        "first_name": "MOSHE",
        "middle_name": "JONIQUE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77504-072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.