Provider Demographics
NPI:1174414411
Name:TOPETE, ISAAC KINGSTON
Entity type:Individual
Prefix:
First Name:ISAAC
Middle Name:KINGSTON
Last Name:TOPETE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 W 19TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51103-2949
Mailing Address - Country:US
Mailing Address - Phone:712-251-5416
Mailing Address - Fax:
Practice Address - Street 1:1105 W 19TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51103-2949
Practice Address - Country:US
Practice Address - Phone:712-251-5416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker