Active NPI
Jennifer Nicole King, FNP-C
- Family Nurse Practitioner
- Goldsboro, NC
National Provider Identifier
1386239952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5014179
- Practice address
- 104 Adair Dr
Goldsboro, NC 27530-4516 - Phone
- (919) 648-4435
- NPI assigned
- Mar 5, 2021
- Last updated
- Aug 23, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5014179 | NC | Primary |
| Dermatology Physician | 207N00000X | 5014179 | NC | |
| Health & Wellness Coach | 171400000X | 5014179 | NC |
Addresses
Primary practice location
104 Adair Dr
Goldsboro, NC 27530-4516
Mailing address
104 Adair Dr
Goldsboro, NC 27530-4516
Phone (919) 648-4435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
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 Goshen Medical Center - Duplin
- Federally Qualified Health Center (FQHC)
- Kenansville, NC
- NPI 1962124974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787443200000",
"number": "1386239952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 ADAIR DR",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275304516",
"telephone_number": "919-648-4435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 ADAIR DR",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275304516",
"telephone_number": "919-648-4435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-05",
"last_updated": "2026-08-23",
"certification_date": "2026-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5014179",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "5014179",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NC",
"license": "5014179",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.