Active NPI
Nicole Dyan King, CNP
- Family Nurse Practitioner
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 384244
- Practice address
- 4605 Montgomery Rd
Cincinnati, OH 45212-2607 - Phone
- (513) 853-9700
- Fax
- (513) 852-8967
- NPI assigned
- Nov 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 384244 | OH | Primary |
Addresses
Primary practice location
4605 Montgomery Rd
Cincinnati, OH 45212-2607
Mailing address
4605 Montgomery Rd
Cincinnati, OH 45212-2607
Phone (513) 853-9700
Other practice location 1
3381 Mount Carmel Rd
Cincinnati, OH 45244-4317
Phone (513) 378-0123
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kingn3@xavier.edu | Direct | Saint Xavier University |
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
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4605 Montgomery Rd
Cincinnati, OH 45212-2607
Phone (513) 853-9700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 384244 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CG Medical Associates Inc | Current | Accepting new patients | |
| Trihealth U LLC | Current | Accepting new patients |
Locations
7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100
846 State Route 28
Milford, OH 45150
Phone (513) 831-8555
4605 Montgomery Rd
Norwood, OH 45212
Phone (513) 731-0062
12110 Lebanon Rd
Sharonville, OH 45241
Phone (513) 853-9700
Interoperability endpoints
- nking321113@direct.trihealth.com
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 and National Provider Directory roles.
-
dba TriHealth at Walgreens
- Community Health Clinic/Center
- Cincinnati, OH
- NPI 1528605177
-
- Urgent Care Clinic/Center
- Cincinnati, OH
- NPI 1982903951
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1316654940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122607",
"telephone_number": "513-853-9700",
"fax_number": "513-852-8967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122607",
"telephone_number": "513-853-9700",
"fax_number": "513-852-8967"
}
],
"practiceLocations": [
{
"address_1": "3381 Mount Carmel Rd",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452444317",
"country_code": "US",
"telephone_number": "513-378-0123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "NICOLE",
"middle_name": "DYAN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "384244",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kingn3@xavier.edu",
"affiliation": "Y",
"affiliationName": "Saint Xavier University",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3381 Mount Carmel Rd",
"city": "Cincinnati",
"state": "OH",
"country_code": "US",
"postal_code": "452444317",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.