Tashanda King

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3526 Melody Dr
Augusta, GA 30906-9533

Phone

(478) 268-1894

NPI assigned

Nov 10, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1053913475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 MELODY DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309069533",
            "telephone_number": "478-268-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 MELODY DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309069533",
            "telephone_number": "478-268-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "TASHANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT",
            "identifier": "76806914",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kenneydgodbee@gmail.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mobile care",
            "address_1": "3526 Melody Dr",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309069533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• La Detria King, LPC
• Samantha King
• Sarah Celeste King, AUD
• Sherita A King, MD
• Tamesha King
• Treyvion King
• Kingdom Wellness Solutions, LLC
• Veeral Lal Kinger, MD
• Ganesh Kini, M.D.
• Kile Woodrow Kinney, DPM

• Community Health Worker in Augusta, GA
• Providers in Augusta, GA by specialty
• Community Health Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.