Active NPI
Tamela R. King, C-FNP
- Nurse Practitioner
- Proctorville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- COA.05133-NP
- Practice address
- 10777 County Road 107
Proctorville, OH 45669-8130 - Phone
- (740) 302-0541
- Fax
- (740) 867-0017
- NPI assigned
- Jul 5, 2005
- Last updated
- Jan 29, 2018
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | COA.05133-NP | OH | Primary |
| Nurse Practitioner | 363L00000X | 37484 | WV |
Addresses
Primary practice location
10777 County Road 107
Proctorville, OH 45669-8130
Mailing address
305 N 5TH St
Ironton, OH 45638-1578
Phone (740) 532-3534
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78012846 | Medicaid | KY | |
| 7102062000 | Medicaid | WV | |
| 2315300 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- JC Edwards School of Medicine, Marshall University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ironton and Lawrence County Area Community Action Organization
Practice addresses (Care Compare)
10777 County Rd
Proctorville, OH 45669-8130
Phone (740) 302-0541
13804 State Route 141
Kitts Hill, OH 45645-8848
Phone (740) 643-2082
1408 Campbell Dr
Ironton, OH 45638-2301
Phone (740) 534-9195
305 N 5TH St
Ironton, OH 45638-1578
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.05133-NP | OH | MD | Nurse Practitioner |
| 37484 | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ironton & Lawrence County Area Community Action Organization | Current | Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Current | Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Current | Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Current | Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Current | Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Current | Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Current | Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Current | Accepting new patients | |
| The Center for Pain Relief Tri State PLLC | Nurse Practitioner | Past | Accepting new patients |
| Pain Care, PLLC | Past | Accepting new patients |
Locations
717 3rd Ave
Chesapeake, OH 45619
Phone (740) 867-6687
717 3rd Ave
#C
Chesapeake, OH 45619
Phone (740) 867-6687
223 Carlton Davidson Ln
Coal Grove, OH 45638
Phone (740) 532-3048
120 N 3rd St
Ironton, OH 45638
Phone (740) 532-7855
1408 Campbell Dr
#201
Ironton, OH 45638
Phone (740) 534-9195
2325 County Road 26
Unit C
Ironton, OH 45638
Phone (740) 643-8688
305 N 5th St
Ironton, OH 45638
13804 State Route 141
Kitts Hill, OH 45645
Phone (740) 643-0234
10777 County Road 107
Proctorville, OH 45669
Phone (740) 302-0541
55 Township Road 508 E
South Point, OH 45680
Phone (740) 377-2712
2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111
2900 1st Ave
Fl St
Huntington, WV 25702
Phone (304) 525-7246
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ironton Health Care Campus
- Federally Qualified Health Center (FQHC)
- Ironton, OH
- NPI 1093022287
-
dba Chesapeake Family Medical Center
- Federally Qualified Health Center (FQHC)
- Chesapeake, OH
- NPI 1215014113
-
dba Aid Family Medical Center
- Federally Qualified Health Center (FQHC)
- Kitts Hill, OH
- NPI 1770839276
-
dba Proctorville Health Care Center
- Federally Qualified Health Center (FQHC)
- Proctorville, OH
- NPI 1912254574
-
dba Ironton Health Care Campus
- Primary Care Clinic/Center
- Ironton, OH
- NPI 1063729259
-
dba Aid Family Medical Center
- Primary Care Clinic/Center
- Kitts Hill, OH
- NPI 1225386501
-
dba Nancy's Place
- Primary Care Clinic/Center
- Ironton, OH
- NPI 1306461694
-
dba Ironton Family Medical Center
- Federally Qualified Health Center (FQHC)
- Ironton, OH
- NPI 1821175720
-
- Pain Medicine (Anesthesiology) Physician
- Huntington, WV
- NPI 1730165424
-
- Interventional Pain Medicine Physician
- Charleston, WV
- NPI 1386662013
Nurse Practitioner
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Mary's Home Health Service
- Home Health Agency
- Proctorville, OH
- NPI 1013109560
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1164492195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517184000000",
"number": "1265439384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 N 5TH ST",
"city": "IRONTON",
"state": "OH",
"postal_code": "456381578",
"telephone_number": "740-532-3534",
"fax_number": "740-532-4859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10777 COUNTY ROAD 107",
"city": "PROCTORVILLE",
"state": "OH",
"postal_code": "456698130",
"telephone_number": "740-302-0541",
"fax_number": "740-867-0017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "TAMELA",
"middle_name": "R.",
"credential": "C-FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2018-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA.05133-NP",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "37484",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78012846",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7102062000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2315300",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Proctorville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.