SHAD FORESIDE
NPI 1558122200
Registered Nurse - Psychiatric/Mental Health, Adult in Topeka, KS

Q: What is Shad Foreside's NPI number?

The NPI number for Shad Foreside is 1558122200. It was assigned to this individual provider in the NPPES registry on January 19, 2024.

Q: What is Shad Foreside's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Q: When was this NPI record last updated?

The NPPES record for Shad Foreside was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 19, 2024

2200 SW GAGE BLVD, TOPEKA, KS 66620(785) 350-3111 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Shad Foreside NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAD FORESIDE (NPI 1558122200) is an individual psychiatric/mental health, adult provider in Topeka, Kansas, licensed in Kansas (150373) and active in the NPI registry since January 2024. He maintains a secondary practice location in Topeka.

NPPES Registry Identity

NPI1558122200

Entity TypeIndividualMale

Primary Taxonomy163WP0809X

Provider Legal NameSHAD FORESIDE

Location Address2200 SW GAGE BLVDTopeka, KS 66620-0001

Mailing AddressPo Box 4073Topeka, KS 66604-0073

Phone(785) 350-3111

Sole ProprietorNo

Enumeration DateJanuary 19, 2024

NPPES CertifiedJanuary 19, 2024

✔ NPI 1558122200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers

Taxonomy Code163WP0809X

License✔ Licensed in KS · 150373

2200 SW GAGE BLVD, Topeka, KS 66620

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Secondary Practice Location 1

Location 12200 SW Gage BlvdTopeka, KS 66622-0001 · Phone (785) 350-3111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shad Foreside's NPI number?

The NPI number for Shad Foreside is 1558122200. It was assigned to this individual provider in the NPPES registry on January 19, 2024.

Where is Shad Foreside located?

Shad Foreside practices at 2200 SW Gage Blvd, Topeka, KS 66620. The listed phone number is (785) 350-3111.

What is Shad Foreside's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

When was this NPI record last updated?

The NPPES record for Shad Foreside was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.