Individual provider Active NPI

Diana Sue King, ARNP

  • Family Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1104129238
Registry record updated Dec 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6676P Issued in KY
Practice address
613 23Rd St
Suite 230
Ashland, KY 41101-2878
Phone
(606) 408-3712
NPI assigned
Dec 12, 2010
Last updated
Dec 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6676P KY Primary

Addresses

Primary practice location

613 23Rd St
Suite 230
Ashland, KY 41101-2878

Mailing address

613 23Rd St
Suite 230
Ashland, KY 41101-2878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110221000011 KY Practitioner - Nurse Practitioner 5395926604 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

510 N Camp Dick Rd
Lancaster, KY 40444-6301
Phone (859) 548-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6676PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC CurrentSince Jul 1, 2017 Accepting new patients
Ephraim McDowell Health Resource, Inc Family CurrentSince Feb 28, 2018 Accepting new patients
Ephraim McDowell Health Resource, Inc Family CurrentSince Feb 28, 2018 Accepting new patients
The James B. Haggin Memorial Hospital Inc. Family CurrentSince Jun 1, 2019 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Nov 20, 2018 Accepting new patients
Ephraim McDowell Health Resource, Inc. Family Current Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Jun 1, 2019 Accepting new patients
The James B. Haggin Memorial Hospital Inc Current Accepting new patients
Community Care Health Network LLC CurrentSince Apr 1, 2024 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Jul 1, 2017 Accepting new patients
Nick Dedman, MD and Associates, P.S.C. Family Current Accepting new patients
The James B. Haggin Memorial Hospital Inc Current Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Nov 20, 2018 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

15100 N US Highway 25 E
Ste 1
Corbin, KY 40701
Phone (606) 261-2054

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

1541 Lebanon Rd
Ste 1
Danville, KY 40422
Phone (859) 236-3208

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

466 Linden Ave
#A
Harrodsburg, KY 40330
Phone (859) 734-5173

510 N Camp Dick Rd
Lancaster, KY 40444
Phone (859) 548-8000

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

150 N Highway 27
Somerset, KY 42503
Phone (606) 485-1021

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

Interoperability endpoints

  • Direct secure messaging: diana.king.1@22146.direct.athenahealth.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1292112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292112000000",
    "number": "1104129238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 23RD ST",
            "address_2": "SUITE 230",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST",
            "address_2": "SUITE 230",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012878",
            "telephone_number": "606-408-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DIANA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-12",
        "last_updated": "2010-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6676P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.