Judith a King MN FNP PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

000037306N1 Issued in OR

Legal business name

JUDITH A KING MN FNP PC

Practice address

124 NW Midland Ave
Grants Pass, OR 97526-1269

Phone

(541) 474-5665

Fax

(541) 474-4435

NPI assigned

Oct 29, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Judith A King, FAMILY NURSE PRACTITNPI 1588663900

Title

Owner/Provider

Phone

(541) 474-5665

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judith King, CFNP

  • Nurse Practitioner
  • Grants Pass, OR
  • NPI 1588663900
  Authorized official Same address or phone
• Matthew John Haag, DO

  • Family Medicine Physician
  • Hinton, WV
  • NPI 1033107016
  NPD (past)

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1154621613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 NW MIDLAND AVE STE 107",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261269",
            "telephone_number": "541-474-5665",
            "fax_number": "541-474-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NW MIDLAND AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261269",
            "telephone_number": "541-474-5665",
            "fax_number": "541-474-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH A KING MN FNP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "541-474-5665",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FAMILY NURSE PRACTIT"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "000037306N1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "900109622",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "108613",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R108613",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074450",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josephine County
• Josephine County Community Corrections
• Josephine County Finance Department (Josephine County Juvenile Justice)
• Josephine County Mental Health
• Kevin Joy, PHARM. D
• Naomi Lea Juniper, LCSW, MSW
• Jupiter Wellness LLC
• Elizabeth Jurich
• K David Smith Coaching LLC (Thriving Family Therapy)
• Mona Kaahu, PMHNP

• Family Nurse Practitioner in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.