Renee Solange King, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

036480-23 Issued in NH

Practice address

29 Ashleigh Dr
Derry, NH 03038-3054

Phone

(603) 216-0277

Fax

(603) 216-0272

NPI assigned

Nov 7, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Renee Solange Glennon Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  NH

  Medicare reassignment NPD
• Liberty Health Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Derry, NH
  • NPI 1568031615
  NPD

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

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1275134926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BRIDGE ST STE 9",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014922",
            "telephone_number": "603-415-0090",
            "fax_number": "833-944-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 ASHLEIGH DR",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030383054",
            "telephone_number": "603-216-0277",
            "fax_number": "603-216-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "RENEE",
        "middle_name": "SOLANGE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-07",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "036480-23",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "036480-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3125244",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "renee.king.2@21697.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "7 Works Way",
            "city": "Somersworth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038781639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "GLENNON",
            "middle_name": "SOLANGE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Kelley, LADC
• Rebecca Kentner
• Edward Khalil, MD
• Jonathan Kilroy, DO
• Lisa King, LPN
• Shireen Kirata
• Hannah Kirby
• Leah Knight
• Caitlin Joelle Kocsis
• Danielle Komenda

• Nurse Practitioner in Derry, NH
• Providers in Derry, NH by specialty
• Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.