Active NPI
Mouada Allan
- Physician Assistant
- Shawnee, KS
National Provider Identifier
1992593107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 15-03310
- Practice address
- 6345 Long Ave
Shawnee, KS 66216-2504 - Phone
- (913) 631-6400
- NPI assigned
- Apr 28, 2025
- Last updated
- Aug 27, 2026
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-03310 | KS | Primary |
Addresses
Primary practice location
6345 Long Ave
Shawnee, KS 66216-2504
Mailing address
6345 Long Ave
Shawnee, KS 66216-2504
Phone (913) 631-6400
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1992593107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6345 LONG AVE",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662162504",
"telephone_number": "913-631-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6345 LONG AVE",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662162504",
"telephone_number": "913-631-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLAN",
"first_name": "MOUADA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-28",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "15-03310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, KS
- Lauren Alexandra, LPC
- Hina Sahar Ali, PHARMD
- Align Family Health & Wellness Center LLC
- All of Everybody
- All Spine Chiropractic and Wellness, LLC
- James E. Allen, MD
- Kasha Allen
- Tiwana Allen, FNP-C, PMHNP-C
- Alliance Healing Hospice & Palliative Care LLC (Monarch Hospice & Palliative Care)
- Chandler R Altom, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.