Active NPI
Ashley King, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Davis, CA
National Provider Identifier
1366821464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95021934
- Practice address
- 1 Shields Ave
Davis, CA 95616-5270 - Phone
- (530) 752-0871
- NPI assigned
- May 21, 2015
- Last updated
- Apr 7, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN261458 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95021934 | CA | Primary |
| Registered Nurse | 163W00000X | RN261458 | GA | |
| Registered Nurse | 163W00000X | 95039929 | CA |
Addresses
Primary practice location
1 Shields Ave
Davis, CA 95616-5270
Mailing address
1768 Ponderosa Dr
Tracy, CA 95376-8203
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95039929 | CA | MD | Registered Nurse |
| 95021934 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
| RN261458 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roy Q Sanders, MD PC | Registered Nurse | Current | Accepting new patients |
Locations
160 Clairemont Ave
Ste 445
Decatur, GA 30030
Phone (404) 500-4266
Organizations & group practices 1
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.
-
dba Decatur Family Psychiatry
- Clinical Child & Adolescent Psychologist
- Decatur, GA
- NPI 1043619802
Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1366821464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1768 PONDEROSA DR",
"city": "TRACY",
"state": "CA",
"postal_code": "953768203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHIELDS AVE",
"city": "DAVIS",
"state": "CA",
"postal_code": "956165270",
"telephone_number": "530-752-0871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "ASHLEY",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-21",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN261458",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95021934",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN261458",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95039929",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.