Individual provider Active NPI

Gina Marie King, ACNP

  • Acute Care Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1467702944
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP05637 Issued in LA
Practice address
3311 Prescott Rd Ste 112
Alexandria, LA 71301-3917
Phone
(318) 767-3346
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X AP05637 LA
Acute Care Nurse Practitioner 363LA2100X AP05637 LA Primary
Nurse Practitioner 363L00000X AP05637 LA

Addresses

Primary practice location

3311 Prescott Rd Ste 112
Alexandria, LA 71301-3917

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 606-6400

Other practice location 1

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 483-4090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20140925000227 LA Practitioner - Nurse Practitioner 0143440149 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapides Regional Physician Group, Specialty Care, LLCGroup PAC ID 3375646466, 41 clinicians

Practice addresses (Care Compare)

201 4TH St
Alexandria, LA 71301-8421
Phone (318) 442-7867

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP05637LAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cenla Heart Specialists LLC CurrentSince Jun 2, 2014 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 1, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 1, 2024 Accepting new patients
Rapides Regional Physician Group Specialty Care, LLC CurrentSince Oct 15, 2024 Accepting new patients

Locations

2108 Texas Ave
Ste 2061
Alexandria, LA 71301
Phone (318) 448-1041

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

201 4th St
Ste 2D
Alexandria, LA 71301
Phone (318) 442-7867

501 Medical Center Dr
Ste 1A
Alexandria, LA 71301
Phone (318) 442-5800

3311 Prescott Rd
Ste 112
Alexandria, LA 71301
Phone (318) 767-0960

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1467702944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-606-6400",
            "fax_number": "903-606-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 112",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013917",
            "telephone_number": "318-767-3346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 Masonic Dr",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713013841",
            "country_code": "US",
            "telephone_number": "318-483-4090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "LA",
            "license": "AP05637",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "AP05637",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP05637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.