Active NPI
Brenda Kincaid
- Case Manager/Care Coordinator
- Stilwell, OK
National Provider Identifier
1699154229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 13 S. 2ND
Stilwell, OK 74960-3105 - Phone
- (918) 696-6826
- Fax
- (918) 516-0479
- NPI assigned
- May 28, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
13 S. 2ND
Stilwell, OK 74960-3105
Mailing address
15 N 1St St
Stilwell, OK 74960-3001
Phone (918) 696-6826
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200556060A | Medicaid | OK |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adair County Family Services | Past | Accepting new patients | |
| Adair County Mental Health Services | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Stilwell, OK
- NPI 1942732425
-
- Community/Behavioral Health Agency
- Stilwell, OK
- NPI 1316347206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1699154229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 N 1ST ST",
"city": "STILWELL",
"state": "OK",
"postal_code": "749603001",
"telephone_number": "918-696-6826",
"fax_number": "918-516-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 S. 2ND",
"city": "STILWELL",
"state": "OK",
"postal_code": "749603105",
"telephone_number": "918-696-6826",
"fax_number": "918-516-0479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINCAID",
"first_name": "BRENDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200556060A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stilwell, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.