Active NPI
Teresa L King, NP-C
- Adult Health Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP7148
- Practice address
- 345 E Virginia Ave
Phoenix, AZ 85004-1202 - Phone
- (602) 755-0800
- Fax
- (602) 252-6115
- NPI assigned
- Jun 1, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP7148 | AZ | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | RN071843 | AZ |
Addresses
Primary practice location
345 E Virginia Ave
Phoenix, AZ 85004-1202
Mailing address
PO Box 24981
Belfast, ME 04915-2000
Phone (844) 969-0686
Other practice location 1
6052 N 59th Ave
Glendale, AZ 85301-7709
Phone (480) 618-0176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ 825903 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
345 E Virginia Ave
Phoenix, AZ 85004-1202
Phone (602) 755-0800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group Arizona LLC | Current | Accepting new patients | |
| Madhuri Dhupati & Associates MD PC. | Current | Accepting new patients | |
| Lankford Holdings Monogram, Inc | Past | Accepting new patients | |
| Greater Phoenix Collaborative Care PC | Past | Accepting new patients |
Locations
14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599
345 E Virginia Ave
Phoenix, AZ 85004
Phone (602) 254-3151
12647 W Smokey Dr
Ste 119
Surprise, AZ 85378
Phone (623) 544-1700
Interoperability endpoints
- teresa.king.1@19654.direct.athenahealth.com
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.
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1053810622
-
- Internal Medicine Physician
- Sun City, AZ
- NPI 1285901819
-
- Internal Medicine Physician
- Surprise, AZ
- NPI 1457515579
-
- Clinic/Center
- Phoenix, AZ
- NPI 1750686614
-
- Non-Pharmacy Dispensing Site
- Glendale, AZ
- NPI 1134561939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1366444580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24981",
"city": "BELFAST",
"state": "ME",
"postal_code": "049152000",
"telephone_number": "844-969-0686",
"fax_number": "773-832-7083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E VIRGINIA AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041202",
"telephone_number": "602-755-0800",
"fax_number": "602-252-6115"
}
],
"practiceLocations": [
{
"address_1": "6052 N 59th Ave",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853017709",
"country_code": "US",
"telephone_number": "480-618-0176",
"fax_number": "623-632-0129",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "TERESA",
"middle_name": "L",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "AP7148",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "RN071843",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AZ 825903",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.