Active NPI
Deborah A King, NP-C
- Family Nurse Practitioner
- West Plains, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2020016689
- Practice address
- 1137 Independence Dr
West Plains, MO 65775-4221 - Phone
- (417) 255-8464
- Fax
- (417) 255-9732
- NPI assigned
- Jun 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 125903 | AR | |
| Family Nurse Practitioner | 363LF0000X | 2020016689 | MO | Primary |
Addresses
Primary practice location
1137 Independence Dr
West Plains, MO 65775-4221
Mailing address
1137 Independence Dr
West Plains, MO 65775-4221
Phone (417) 255-8464
Other practice location 1
365 E Walnut St
Thayer, MO 65791-1523
Phone (417) 255-8464
Other practice location 2
9394 US Hwy 63
Thayer, MO 65791
Phone (417) 264-2990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1137 Independence Dr
West Plains, MO 65775-4221
Phone (417) 255-8464
9394 US
Suite 63
Thayer, MO 65791-9448
Phone (417) 264-2990
Hospital & facility affiliations
- Ozarks Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125903 | AR | MD | Family Nurse Practitioner |
| 2020016689 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Alliance for Better Family Health | Current | Accepting new patients | |
| Rural Alliance for Better Family Health | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Rural Alliance for Better Family Health | Past | Accepting new patients | |
| Rural Alliance for Better Family Health | Past | Accepting new patients |
Locations
9394 US 63
Thayer, MO 65791
Phone (417) 264-2990
365 E Walnut St
Thayer, MO 65791
Phone (417) 255-8464
1137 Independence Dr
West Plains, MO 65775
Phone (417) 255-8464
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- West Plains, MO
- NPI 1144280132
-
- General Practice Dentistry
- Thayer, MO
- NPI 1730414178
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Federally Qualified Health Center (FQHC)
- Thayer, MO
- NPI 1164488680
-
- Federally Qualified Health Center (FQHC)
- Thayer, MO
- NPI 1619519550
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1265057129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1137 INDEPENDENCE DR",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657754221",
"telephone_number": "417-255-8464",
"fax_number": "417-255-9732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1137 INDEPENDENCE DR",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657754221",
"telephone_number": "417-255-8464",
"fax_number": "417-255-9732"
}
],
"practiceLocations": [
{
"address_1": "365 E Walnut St",
"address_purpose": "LOCATION",
"city": "Thayer",
"state": "MO",
"postal_code": "657911523",
"country_code": "US",
"telephone_number": "417-255-8464",
"fax_number": "417-255-9732",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9394 US HWY 63",
"address_purpose": "LOCATION",
"city": "Thayer",
"state": "MO",
"postal_code": "65791",
"country_code": "US",
"telephone_number": "417-264-2990",
"fax_number": "417-264-2993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "DEBORAH",
"middle_name": "A",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-16",
"last_updated": "2022-12-29",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "125903",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2020016689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Plains, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.