Kemetra Shen'Ee King, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

26564 Issued in TN

Practice address

1726 Poplar Ave
Memphis, TN 38104-6426

Phone

(901) 274-3550

NPI assigned

Jan 24, 2020

Last updated

Jan 24, 2020By the provider in NPPES

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 TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Memphis Center for Reproductive Health

  • Obstetrics & Gynecology Physician
  • Memphis, TN
  • NPI 1427370600

  Advanced Practice Midwife

  Medicare reassignment NPD
• Planned Parenthood Greater Memphis Region

  • Ambulatory Surgical Clinic/Center
  • Memphis, TN
  • NPI 1447209820
  NPD (past)

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1326678715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046426",
            "telephone_number": "901-274-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046426",
            "telephone_number": "901-274-3550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 N Bellevue Blvd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381047201",
            "country_code": "US",
            "telephone_number": "901-274-3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "KEMETRA",
        "middle_name": "SHEN'EE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "26564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason M. King, B.A.
• Jennifer King, NP-C
• Jimmy R. King, BSW
• Joshua Alexander King
• Justin David King
• Kirsten Alexandria Haworth King, MD
• Latasha M King, PHARMD
• Laura L King, RN
• Lauren Cooper King, MD
• Louvadie S. King, M.S.

• Advanced Practice Midwife in Memphis, TN
• Providers in Memphis, TN by specialty
• Advanced Practice Midwife in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.