Tyneishia Cunningham King

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-115157 Issued in AL

Practice address

1207 E Forrest St Ste 204D
Athens, AL 35613-2057

Phone

(256) 230-5280

Fax

(256) 427-4117

NPI assigned

Sep 10, 2019

Last updated

Mar 28, 2022By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empower2, LLCGroup PAC ID 6103185145, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Empower2, LLC.

  dba approxie health

  • Urgent Care Clinic/Center
  • Madison, AL
  • NPI 1669985503
  Medicare reassignment Care Compare group NPD
• Aderholt Medical, LLC

  • Family Medicine Physician
  • Athens, AL
  • NPI 1164023529
  Medicare reassignment NPD
• Blossomwood Medical PC

  dba Blossomwood Medical

  • Internal Medicine Physician
  • Huntsville, AL
  • NPI 1144451311
  NPD (past)

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1235788415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 E FORREST ST STE 204D",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132057",
            "telephone_number": "256-301-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 E FORREST ST STE 204D",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132057",
            "telephone_number": "256-230-5280",
            "fax_number": "256-427-4117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 Presbyterian Dr SW",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356031807",
            "country_code": "US",
            "telephone_number": "256-301-5405",
            "fax_number": "256-306-4609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "TYNEISHIA",
        "middle_name": "CUNNINGHAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2022-03-28",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "115157",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-115157",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-115157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937074",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Nicole Kelley, BA
• Abbey B Kellum, MSW
• Dawn H Kiep
• Natalee Jean Kilpatrick, CRNP
• Elizabeth A Kimes
• Chandra S Koneru, M.D.
• Vijaya Koneru, M.D.
• Koonce Surgical PC
• Cassidy J Koonce, M.D.
• Kelley Kott

• Family Nurse Practitioner in Athens, AL
• Providers in Athens, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.