Individual provider Active NPI

Deborah A King, NP-C

  • Family Nurse Practitioner
  • West Plains, MO
National Provider Identifier
1265057129
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020016689 Issued in MO
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

Updated by the provider on Dec 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221229001833 MO Practitioner - Nurse Practitioner 6608286430 Reassigns benefits to 1 organization

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
Rural Alliance for Better Family HealthGroup PAC ID 6103734058, 8 clinicians

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 Hospital, West Plains, MO, CCN 260078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
125903ARMDFamily Nurse Practitioner
2020016689MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Alliance for Better Family Health CurrentSince Jan 3, 2023 Accepting new patients
Rural Alliance for Better Family Health CurrentSince Jan 3, 2023 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Rural Alliance for Better Family Health PastSince Oct 13, 2019 Accepting new patients
Rural Alliance for Better Family Health PastSince Jan 3, 2023 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.