JUDITH A KING MN FNP PC NPI 1154621613

NPI Information

NPI: 1154621613
Provider Name: JUDITH A KING MN FNP PC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
124 NW MIDLAND AVE
GRANTS PASS, OR
ZIP 97526
Phone: (541) 474-5665
Get Directions

JUDITH A KING MN FNP PC is a family nurse practitioner in Grants Pass, OR. JUDITH A KING MN FNP PC NPI is 1154621613. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

124 NW MIDLAND AVE
GRANTS PASS, OR
ZIP 97526-269
Phone: (541) 474-5665
Fax: (541) 474-4435

The provider's authorized official is Judith A King .
The authorized official title is Owner/provider and has the following contact phone number (541) 474-5665.

The enumeration date for this NPI number is 10/29/2010 and was last updated on 12/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	000037306N1	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R108613	OTHER		MEDICARE
2	074450	MEDICAID	OREGON
3	900109622	OTHER	OREGON	MEDICARE RR
4	108613	OTHER	OREGON	MEDICARE ID-TYPE UNSPECIFIED
5	S02931	MEDICARE UPIN	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »