Sandra Elizabeth King

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

295774 Issued in NY

Practice address

20815 109TH Ave
Queens Village, NY 11429-1441

Phone

(347) 515-9574

NPI assigned

Jul 10, 2025

Last updated

Jul 10, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1255222105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20815 109TH AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291441",
            "telephone_number": "347-515-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20815 109TH AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291441",
            "telephone_number": "347-515-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SANDRA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "295774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jabez Kim
• Joe Young Kim, MSED.
• Minsoo Kim, LCSW-R
• Florence King-Inneh, RN
• Donna King
• Janice Kingston, LPN
• Kiss Agency
• Norman H Klein, D.D.S.
• Elaina Klimchuck, M.D
• Caitlin Knapp, LMSW

• Licensed Practical Nurse in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.