Active NPI
Angela Jane King, MA00015395
- Specialist
- Tacoma, WA
National Provider Identifier
1346613791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00015395
- Practice address
- 913 N Frace St
Tacoma, WA 98406-2121 - Phone
- (253) 225-9993
- NPI assigned
- Nov 6, 2015
- Last updated
- Dec 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00015395 | WA | Primary |
Addresses
Primary practice location
913 N Frace St
Tacoma, WA 98406-2121
Mailing address
913 N Frace St
Tacoma, WA 98406-2121
Phone (253) 225-9993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00015395 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1346613791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 N FRACE ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984062121",
"telephone_number": "253-225-9993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 N FRACE ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984062121",
"telephone_number": "253-225-9993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "ANGELA",
"middle_name": "JANE",
"credential": "MA00015395",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-06",
"last_updated": "2021-12-21",
"certification_date": "2021-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00015395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.