Active NPI
Heather Kincaide
- Ambulatory Care Pharmacist
- Fairchild Afb, WA
National Provider Identifier
1679813463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 20148
- Practice address
- 701 Hospital Loop
Fairchild Afb, WA 99011 - Phone
- (509) 247-9066
- NPI assigned
- Feb 15, 2013
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 20148 | CO | Primary |
Addresses
Primary practice location
701 Hospital Loop
Fairchild Afb, WA 99011
Mailing address
8155 E Fairmount Dr
#523
Denver, CO 80230-6839
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 |
|---|---|---|---|
| 20148 | CO | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1679813463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8155 E FAIRMOUNT DR",
"address_2": "#523",
"city": "DENVER",
"state": "CO",
"postal_code": "802306839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 HOSPITAL LOOP",
"city": "FAIRCHILD AFB",
"state": "WA",
"postal_code": "99011",
"telephone_number": "509-247-9066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINCAIDE",
"first_name": "HEATHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-15",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "CO",
"license": "20148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairchild Afb, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.