Individual provider Active NPI

Kristi Jayne King, N.P.

  • Nurse Practitioner
  • Santa Barbara, CA
National Provider Identifier
1477575934
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP13200 Issued in CA
Practice address
607 Miramonte Dr
Santa Barbara, CA 93109-1428
Phone
(805) 705-0269
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP13200 CA Primary

Addresses

Primary practice location

607 Miramonte Dr
Santa Barbara, CA 93109-1428

Mailing address

607 Miramonte Dr
Santa Barbara, CA 93109-1428
Phone (805) 705-0269

Other identifiers 1

IdentifierTypeStateIssuer
NP13200OtherCAMED LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20051103000966 CA Practitioner - Nurse Practitioner 7810915204 Reassigns benefits to 2 organizations
Practice locations: Santa Barbara, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13200CAMDCounselor
NP13200CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Medicine Center of Santa Barbara Inc CurrentSince Oct 1, 2017 Accepting new patients
Zugan Health Medical Corporation CurrentSince May 23, 2016 Accepting new patients

Locations

5901 Encina Rd
Ste C3
Goleta, CA 93117
Phone (805) 565-5700

1100 Chapala St
Santa Barbara, CA 93101
Phone (805) 395-4946

606 Alamo Pintado Rd
#3174
Solvang, CA 93463

Organizations & group practices 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1477575934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 MIRAMONTE DR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931091428",
            "telephone_number": "805-705-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 MIRAMONTE DR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931091428",
            "telephone_number": "805-705-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KRISTI",
        "middle_name": "JAYNE",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP13200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LICENSE",
            "identifier": "NP13200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.