Individual provider Active NPI

Nicole Dyan King, CNP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1316654940
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
384244 Issued in OH
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

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729003078 OH Practitioner - Nurse Practitioner 8628514494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Trihealth U LLCGroup PAC ID 5799110953, 31 clinicians

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

LicenseStateTypeSpecialty
384244OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CG Medical Associates Inc CurrentSince Jul 9, 2024 Accepting new patients
Trihealth U LLC CurrentSince Jan 27, 2025 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.