Active NPI
Jennifer Lynn King, LPN
- Licensed Practical Nurse
- Dublin, OH
National Provider Identifier
1033685052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN.120878.MEDS
- Practice address
- 6605 Longshore Street, Suite 240
#185
Dublin, OH 43017 - Phone
- (614) 363-0855
- Fax
- (614) 363-0910
- NPI assigned
- Oct 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | RT346086 | OH | |
| Private Vehicle | 347C00000X | RT346086 | OH | |
| Chore Provider | 372500000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Licensed Practical Nurse | 164W00000X | PN.120878.MEDS | OH | Primary |
Addresses
Primary practice location
6605 Longshore Street, Suite 240
#185
Dublin, OH 43017
Mailing address
6605 Longshore Street, Suite 240
#185
Dublin, OH 43017
Phone (614) 363-0855
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN.120878.MEDS | OH | MD | Licensed Practical Nurse |
| RT346086 | OH | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1033685052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6605 LONGSHORE STREET, SUITE 240",
"address_2": "#185",
"city": "DUBLIN",
"state": "OH",
"postal_code": "43017",
"telephone_number": "614-363-0855",
"fax_number": "614-363-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6605 LONGSHORE STREET, SUITE 240",
"address_2": "#185",
"city": "DUBLIN",
"state": "OH",
"postal_code": "43017",
"telephone_number": "614-363-0855",
"fax_number": "614-363-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-17",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "OH",
"license": "RT346086",
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "OH",
"license": "RT346086",
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN.120878.MEDS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.