Active NPI
Krista Lee King
- Early Intervention Provider Agency
- Gas City, IN
National Provider Identifier
1245062728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Practice address
- 119 W North C St
Gas City, IN 46933-1451 - Phone
- (765) 661-4940
- NPI assigned
- Aug 14, 2024
- Last updated
- Aug 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
119 W North C St
Gas City, IN 46933-1451
Mailing address
9909 E 100 S
Greentown, IN 46936-9163
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1245062728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9909 E 100 S",
"city": "GREENTOWN",
"state": "IN",
"postal_code": "469369163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W NORTH C ST",
"city": "GAS CITY",
"state": "IN",
"postal_code": "469331451",
"telephone_number": "765-661-4940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "KRISTA",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-14",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gas City, IN
- Hook-Superx LLC (CVS Pharmacy #06626)
- Hoosier Enterprises III, Inc. (Twin City Healthcare)
- Makensie Huggins
- JMS Services Inc. (Sabo Discount Pharmacy)
- Jon Kevin Blake MD (Jon K. Blake MD)
- Krista Jade Lee, BCBA
- Marion General Hospital
- Marion General Hospital (Gas City Medical Center of MGH)
- McKee Chiropractic Inc.
- Jeremy William McKee, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.