Active NPI
Mona Lorraine King, CNP
- Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1235513250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP131794/RN 906115
- Practice address
- 909 Fulton St SE
Minneapolis, MN 55455-4009 - Phone
- (612) 672-7422
- Fax
- (612) 676-8992
- NPI assigned
- Jul 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP131794/RN 906115 | TX | Primary |
Addresses
Primary practice location
909 Fulton St SE
Minneapolis, MN 55455-4009
Mailing address
909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 365270301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP131794/RN 906115 | TX | MD | Nurse Practitioner |
Interoperability endpoints
- mking560334@direct.multicare.org
- mking606839@direct.med.utah.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1235513250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 FULTON ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554554800",
"telephone_number": "612-672-7422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 FULTON ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554554009",
"telephone_number": "612-672-7422",
"fax_number": "612-676-8992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "MONA",
"middle_name": "LORRAINE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP131794/RN 906115",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "365270301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.