Winifred Rene King, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

M5295 Issued in TX

Practice address

14637 Pebble Bend Dr
Houston, TX 77068-2922

Phone

(936) 224-7990

Fax

(936) 224-3154

NPI assigned

Jul 28, 2006

Last updated

May 17, 2023By 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Houston Metro City Medical Center

  dba Houston Medical Clinic

  • General Practice Physician
  • Houston, TX
  • NPI 1003548140
  NPD Authorized official
• King Wellness Institute

  • Primary Care Clinic/Center
  • Spring, TX
  • NPI 1891689543
  NPD Authorized official
• Winnie King Aesthetics and Wellness

  • General Practice Physician
  • Houston, TX
  • NPI 1538719471
  Authorized official Same address or phone
• Caroline Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1437109618
  NPD (past)
• Emcare Iah Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1770533804
  NPD (past)
• Medical Center Emergency Physicians PA

  • Emergency Medicine Physician
  • The Woodlands, TX
  • NPI 1003096553
  NPD (past)
• Texas Em-1 Medical Services PA

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1679648695
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1114931847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14637 PEBBLE BEND DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770682922",
            "telephone_number": "936-224-7990",
            "fax_number": "936-224-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14637 PEBBLE BEND DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770682922",
            "telephone_number": "936-224-7990",
            "fax_number": "936-224-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "WINIFRED",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "M5295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189062602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189062604",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8R8316",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Cooley King, RN, CPNP
• Taryn Covington King, MSN, APRN, FNP - C
• Tiffany King
• Tiffany Nicole King, LMT
• Tricia Sandra King
• King's Home Health Care
• Pascal Lemnyuy Kingah, MD
• David Langley Kingcaid, DC
• Kingdom Counseling Center
• Kingdom Dwelling Christian Counseling, LLC

• General Practice Physician in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Physician in Texas

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

Verify at the official NPI Registry.