Individual provider Active NPI

Angela Michelle King, MSN

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1164187977
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11011972 Issued in FL
Practice address
5615 S Florida Ave
Lakeland, FL 33813-2710
Phone
(863) 327-0132
Fax
(863) 777-2320
NPI assigned
Nov 5, 2021
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X GAA-NP003911 GA
Family Nurse Practitioner 363LF0000X APRN11011972 FL Primary

Addresses

Primary practice location

5615 S Florida Ave
Lakeland, FL 33813-2710

Mailing address

PO Box 491500
Leesburg, FL 34749-1500
Phone (321) 204-5222

Other practice location 1

14065 Town Loop Blvd Ste 300
Orlando, FL 32837-6199
Phone (407) 735-2114

Other practice location 2

11117 7th Ave N
Suite 103
St. Petersburg, FL 33705-3030
Phone (727) 822-5393

Other practice location 3

301 N Parsons Ave Ste 103
Brandon, FL 33510-4517
Phone (813) 491-3060

Other practice location 4

714 W Dr Martin Luther King Jr Blvd Ste A
Tampa, FL 33603-3104
Phone (813) 223-6222

Other practice location 5

7747 W Hillsborough Ave
Tampa, FL 33615-4715
Phone (813) 603-4289

Other practice location 6

10970 Cross Creek Blvd
Tampa, FL 33647-4055
Phone (866) 550-2212

Other practice location 7

21301 Powerline Rd Ste 106
Boca Raton, FL 33433-2389
Phone (866) 550-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220709000937 FL Practitioner - Nurse Practitioner 1456731363 Reassigns benefits to 3 organizations
I20260131000168 GA Practitioner - Nurse Practitioner 1456731363

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Travel Doctor PLGroup PAC ID 2567686090, 42 clinicians
The Clinicians, LLCGroup PAC ID 7214154509, 51 clinicians

Practice addresses (Care Compare)

10970 Cross Creek Blvd
Suite D
Tampa, FL 33647-4056
Phone (866) 550-2212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11011972FLMDFamily Nurse Practitioner
GAA-NP003911GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Travel Doctor, PL CurrentSince Feb 14, 2024 Accepting new patients
The Clinicians, LLC CurrentSince Jun 15, 2023 Accepting new patients
Everwell Health and Infusion, LLC Current Accepting new patients
Pathways Clinical Partners, LLC CurrentSince Mar 19, 2023 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince May 29, 2025 Accepting new patients
Stephen a Williams, M.D., Inc. PastSince Sep 23, 2024 Accepting new patients
Access Medical Group of Lakeland, LLC PastSince Nov 9, 2021 Accepting new patients
Cool Kidz Pediatrics LLC Past Accepting new patients
Boca del Mar Pediatric and Adolescent Center PA Past Accepting new patients

Locations

21301 Powerline Rd
Ste 106
Boca Raton, FL 33433
Phone (866) 550-2212

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

620 S Lake St
Ste 2
Leesburg, FL 34748
Phone (352) 314-6589

10970 Cross Creek Blvd
Ste D
Tampa, FL 33647
Phone (813) 369-5969

Interoperability endpoints

  • Direct secure messaging: aking@pmg-fl.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/17462/brand/2/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1164187977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491500",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347491500",
            "telephone_number": "321-204-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132710",
            "telephone_number": "863-327-0132",
            "fax_number": "863-777-2320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14065 Town Loop Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328376199",
            "country_code": "US",
            "telephone_number": "407-735-2114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11117 7th Ave N",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "St. Petersburg",
            "state": "FL",
            "postal_code": "337053030",
            "country_code": "US",
            "telephone_number": "727-822-5393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 N Parsons Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335104517",
            "country_code": "US",
            "telephone_number": "813-491-3060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "714 W Dr Martin Luther King Jr Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336033104",
            "country_code": "US",
            "telephone_number": "813-223-6222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7747 W Hillsborough Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336154715",
            "country_code": "US",
            "telephone_number": "813-603-4289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10970 Cross Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336474055",
            "country_code": "US",
            "telephone_number": "866-550-2212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21301 Powerline Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334332389",
            "country_code": "US",
            "telephone_number": "866-550-2212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "credential": "MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP003911",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.