Individual provider Active NPI

Taylor Jo King, PA-C

  • Physician Assistant
  • Sioux City, IA
National Provider Identifier
1316537178
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
107223 Issued in IA
Practice address
2730 Pierce St Ste 300
Sioux City, IA 51104-3765
Phone
(712) 234-8725
Fax
(712) 234-8728
NPI assigned
Jan 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 107223 IA
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X 107223 IA
Physician Assistant 363A00000X 107223 IA Primary

Addresses

Primary practice location

2730 Pierce St Ste 300
Sioux City, IA 51104-3765

Mailing address

1956 130TH St
Lawton, IA 51030-8022
Phone (712) 202-8396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210308001380 NE Practitioner - Physician Assistant 4688080146 Reassigns benefits to 1 organization
I20210308001513 IA Practitioner - Physician Assistant 4688080146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-2303

2730 Pierce St
Sioux City, IA 51104-3766

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

Hospital & facility affiliations

  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Multi-Specialty CurrentSince Jan 31, 2022 Accepting new patients
Alegent Creighton Health CurrentSince Oct 1, 2021 Accepting new patients
Alegent Creighton Health Multi-Specialty CurrentSince Oct 1, 2021 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Multi-Specialty CurrentSince Jan 31, 2022 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

2730 Pierce St
Ste 402
Sioux City, IA 51104
Phone (712) 234-8725

2730 Pierce St
Ste 300
Sioux City, IA 51104
Phone (712) 234-1005

2800 Pierce St
Ste 101
Sioux City, IA 51104
Phone (712) 224-8678

2771 Solution Ctr
Chicago, IL 60677

704 N 3rd St
Plainview, NE 68769
Phone (402) 582-3434

201 E 4th St
Ste 202
South Sioux City, NE 68776

Interoperability endpoints

  • Direct secure messaging: tking520208@direct.unitypoint.org

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": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1316537178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1956 130TH ST",
            "city": "LAWTON",
            "state": "IA",
            "postal_code": "510308022",
            "telephone_number": "712-202-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PIERCE ST STE 300",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043765",
            "telephone_number": "712-234-8725",
            "fax_number": "712-234-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "TAYLOR",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2023-10-19",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "107223",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "IA",
            "license": "107223",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "107223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.