Lida King, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN107296NP1985 Issued in OH

Practice address

1775 Delco Park Drive
Kettering, OH 45420

Phone

(937) 299-2587

Fax

(937) 299-0124

NPI assigned

Oct 3, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Ohio Pediatrics, Inc.

  • Pediatrics Physician
  • Kettering, OH
  • NPI 1619090750
  NPD (past)
• Ohio Pediatrics, Inc.

  • Pediatrics Physician
  • Vandalia, OH
  • NPI 1699921932
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235224775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 DELCO PARK DRIVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "45420",
            "telephone_number": "937-299-2587",
            "fax_number": "937-299-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 DELCO PARK DRIVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "45420",
            "telephone_number": "937-299-2587",
            "fax_number": "937-299-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LIDA",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "RN107296NP1985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2226791",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly K. Hyatt Psychotherapy, LLC
• Deborah Suzanne Kindred, RRT
• Bradley King, DO
• Brigette King
• Jane King, CNP
• Allison Beth Kingzett, PA-C
• Amy Marie Kinsel, PHARMD
• Stephan F Kircher, DO
• Grace Kirk
• Kristen Lynne Kiselica, MSCCC-SLP

• Pediatric Nurse Practitioner in Kettering, OH
• Providers in Kettering, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.