Individual provider Active NPI

Sue Anne King, D.C.

  • Chiropractor
  • Independence, KY
National Provider Identifier
1275506271
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4394 Issued in KY
Practice address
11939 Taylor Mill Rd
Independence, KY 41051-9762
Phone
(859) 363-1222
Fax
(859) 261-2881
NPI assigned
Feb 9, 2006
Last updated
Aug 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4394 KY Primary

Addresses

Primary practice location

11939 Taylor Mill Rd
Independence, KY 41051-9762

Mailing address

11939 Taylor Mill Rd
Independence, KY 41051-9762
Phone (859) 363-1222

Other identifiers 1

IdentifierTypeStateIssuer
85003515MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040219000899 KY Practitioner - Chiropractic 0840185641 Practice locations: Independence, KY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11939 Taylor Mill Rd
Independence, KY 41051-9762
Phone (859) 363-1222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Molly King DC PSC Chiropractor Past Accepting new patients
King Chiropractic of Florence Ky PSC Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1275506271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11939 TAYLOR MILL RD",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "410519762",
            "telephone_number": "859-363-1222",
            "fax_number": "859-261-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11939 TAYLOR MILL RD",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "410519762",
            "telephone_number": "859-363-1222",
            "fax_number": "859-261-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SUE",
        "middle_name": "ANNE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85003515",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.