Sierra King

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2025049578 Issued in MO

Practice address

2411 Holmes St
Kansas City, MO 64108-2741

Phone

(816) 235-5412

Fax

(816) 235-5187

NPI assigned

Jan 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samuel U Rodgers Health Center IncGroup PAC ID 9739092826, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Samuel U. Rodgers Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1578570982
  Medicare reassignment Care Compare group NPD
• Samuel U. Rodgers Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1326674144
  NPD

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1306608393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082741",
            "telephone_number": "816-235-5412",
            "fax_number": "816-235-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082741",
            "telephone_number": "816-235-5412",
            "fax_number": "816-235-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2025049578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Elizabeth King
• Mark King, DDS
• Sally King, MSW, LCSW, LSCSW
• Sarah King, RN
• Sherri Lynn King, LMSW
• Tammy King
• Thomasa Shannel King
• Zackary King, MSW, LSW
• Kingdom Care Transport LLC
• Kingdom Home Care LLC

• Medical Physician Assistant in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Medical Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.
• 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.