Active NPI
Diane L. King, M.D.
- Family Medicine Physician
- Bealeton, VA
National Provider Identifier
1053479261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101045014
- Practice address
- 6200 Station Dr
Bealeton, VA 22712-9374 - Phone
- (540) 439-8100
- Fax
- (540) 439-8797
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101045014 | VA | Primary |
Addresses
Primary practice location
6200 Station Dr
Bealeton, VA 22712-9374
Mailing address
550 Hospital Dr
Warrenton, VA 20186-3027
Phone (540) 316-5940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005613230 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fauquier Medical Associates | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
6200 Station Dr
Bealeton, VA 22712
Phone (540) 364-0153
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- diane.king.1@17026.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1053479261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 HOSPITAL DR",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201863027",
"telephone_number": "540-316-5940",
"fax_number": "540-316-5941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 STATION DR",
"city": "BEALETON",
"state": "VA",
"postal_code": "227129374",
"telephone_number": "540-439-8100",
"fax_number": "540-439-8797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "DIANE",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101045014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005613230",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bealeton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.