Lisa Deann King, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-140523 Issued in AL

Practice address

2708 Highway 78 E
Jasper, AL 35501-3430

Phone

(205) 387-2253

NPI assigned

Jun 14, 2024

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

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

University of Alabama School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Walker Medical Diagnostics, LLCGroup PAC ID 8921000845, 10 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 and National Provider Directory roles.

• Walker Medical Diagnostics, LLC

  • Internal Medicine Physician
  • Jasper, AL
  • NPI 1649350646
  Medicare reassignment Care Compare group NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment
• Walker Medical Diagnostics, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Jasper, AL
  • NPI 1881808400
  NPD

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1245073501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 PAWNEE CIR",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355049331",
            "telephone_number": "205-544-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013430",
            "telephone_number": "205-387-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LISA",
        "middle_name": "DEANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-140523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Health Hospice
• Kim Plyler Kerrinnes, LPN CASE MANAGER
• Jenny Lynn Killingsworth, CRNP
• Tracy N Kilpatrick, RN, BSN
• Jennifer King, MS
• Adam D Kinsaul, CRNP
• Christina Sue Kirkland, LMSW
• KMKG Anesthesia PC
• KMKG Pain Management PC
• Joshua Knight, PHARMD

• Family Nurse Practitioner in Jasper, AL
• Providers in Jasper, 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 Jun 18, 2024; 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.