Faynalda Joann King, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

VN 250360 Issued in CA

Practice address

29811 N Lilley Way
Coarsegold, CA 93614-9624

Phone

(209) 628-3668

NPI assigned

Jul 17, 2013

Last updated

Jul 17, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1093157158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29811 N LILLEY WAY",
            "city": "COARSEGOLD",
            "state": "CA",
            "postal_code": "936149624",
            "telephone_number": "209-628-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29811 N LILLEY WAY",
            "city": "COARSEGOLD",
            "state": "CA",
            "postal_code": "936149624",
            "telephone_number": "209-628-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "FAYNALDA",
        "middle_name": "JOANN",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "VN 250360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren Gibbons
• Stefanie Marie Gibbons, ASW
• Rachel Marie Gren, LMFT
• Sally Kathleen Pearson Kent, MFT
• Kristen Kernaghan, PPSC
• Kroeger Enterprises LLC (Sierra Sleep Diagnostics)
• Phillip Brandon Kroeger
• Tamara Lee Kroeger, CMT
• George Samuel Laird Jr., PHD
• Roger Joseph Lambert, DDS

• Licensed Practical Nurse in Coarsegold, CA
• Providers in Coarsegold, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.