Individual provider Active NPI

Teresa L King, NP-C

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1366444580
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP7148 Issued in AZ
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

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AZ 825903MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050930000668 AZ Practitioner - Nurse Practitioner 7618902305 Reassigns benefits to 2 organizations

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
Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

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

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC CurrentSince May 20, 2024 Accepting new patients
Madhuri Dhupati & Associates MD PC. CurrentSince Dec 1, 2023 Accepting new patients
Lankford Holdings Monogram, Inc Past Accepting new patients
Greater Phoenix Collaborative Care PC PastSince Jun 17, 2013 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.