Shirley King, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4453551 Issued in NY

Practice address

2039 Gorden Ridge Dr
East Stroudsburg, PA 18302-8468

Phone

(570) 517-1215

NPI assigned

Feb 3, 2017

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1245778836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 GORDEN RIDGE DR",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183028468",
            "telephone_number": "570-517-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 GORDEN RIDGE DR",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183028468",
            "telephone_number": "570-517-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SHIRLEY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "4453551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Key to Health Chiropractic
• Hirut Kifle
• Thomas M. Kilareski, D.M.D., M.S.
• Alexander Thomas Kimble, LSW
• Kristina Amorese Kiner, OTR/L
• Rachel Ella Kinney, D.O,
• Scott K Kissell, D.P.M.
• Jessica Rae Klugh, AT
• Lisa Ann Knauff, PT
• Karen Koberlein

• Registered Nurse in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.