SHELLY J KING NP NPI 1427044874

NPI Information

  • NPI: 1427044874
  • Provider Name: SHELLY J KING, NP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 705 RILEY HOSPITAL DR
    SUITE 4230
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (317) 944-7411

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NPI Details

Shelly J King, NP is a pediatrics nurse practitioner in Indianapolis, IN with 25 years of experience. Shelly J King, NP NPI is 1427044874. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

705 RILEY HOSPITAL DR
SUITE 4230
INDIANAPOLIS, IN
ZIP 46202-109
Phone: (317) 944-7411
Fax: (317) 944-7481

The NPI 1427044874 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2005 and was last updated on 2/12/2025.

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
1363L00000XNurse Practitioner71001248AINDIANANo
2363LP0200XNurse PractitionerPediatrics71001248AINDIANAYes

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
1000000593125OTHERINDIANAANTHEM PIN
2200366990MEDICAIDINDIANA

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: 11/21/2025

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