Active NPI
Kathleen Louise King, APRN
- Adult Health Nurse Practitioner
- Newington, CT
National Provider Identifier
1417267717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 001645
- Practice address
- 555 Willard Ave
2W
Newington, CT 06111-2631 - Phone
- (860) 883-7944
- Fax
- (860) 878-6711
- NPI assigned
- Oct 20, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 001645 | CT | Primary |
Addresses
Primary practice location
555 Willard Ave
2W
Newington, CT 06111-2631
Mailing address
555 Willard Ave
2W
Newington, CT 06111-2631
Phone (860) 883-7944
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 |
|---|---|---|---|
| 001645 | CT | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287532800000",
"number": "1417267717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 WILLARD AVE",
"address_2": "2W",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061112631",
"telephone_number": "860-883-7944",
"fax_number": "860-878-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 WILLARD AVE",
"address_2": "2W",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061112631",
"telephone_number": "860-883-7944",
"fax_number": "860-878-6711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "KATHLEEN",
"middle_name": "LOUISE",
"name_prefix": "Miss",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-20",
"last_updated": "2010-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "001645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.