Thomas King, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

784345 Issued in CA

Practice address

18232 Smoke St
Jamestown, CA 95327-9218

Phone

(209) 984-4820

NPI assigned

Sep 19, 2012

Last updated

Aug 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: thomas.king.p1@direct.mathiesenmemorialhc.nextgenshare.com
• Direct secure messaging: thomas.king.p3@direct.mathiesenmemorialhc.nextgenshare.com

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.

• Mathiesen Memorial Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Jamestown, CA
  • NPI 1255595484

  TX

  Medicare reassignment NPD
• Mathiesen Memorial Health Center

  • Primary Care Clinic/Center
  • Jamestown, CA
  • NPI 1356080022
  NPD (past)

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1497005268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19875 WHITTO MINE RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953708405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18232 SMOKE ST",
            "city": "JAMESTOWN",
            "state": "CA",
            "postal_code": "953279218",
            "telephone_number": "209-984-4820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22902 Twain Harte Dr",
            "address_purpose": "LOCATION",
            "city": "Twain Harte",
            "state": "CA",
            "postal_code": "953839597",
            "country_code": "US",
            "telephone_number": "209-770-3236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18144 Seco St",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "CA",
            "postal_code": "953279498",
            "country_code": "US",
            "telephone_number": "209-984-4820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "THOMAS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "785345",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "CA",
            "license": "95000245",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95000245",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "784345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Allene Goularte, MSN, PMHNP-BC
• Richard Perry Halliburton, PSYD
• Glenda Jean Henderson-Balmet
• Jamestown School District
• Haku Kevin Kahoano, M.D.
• Jeffrey Frank Kocher, DDS
• Michelle J Low
• Blong Roger Ly, DDS
• Alejandro Gastello Martinez, SOCIAL WORKER
• Mathiesen Memorial Health Center

• Family Nurse Practitioner in Jamestown, CA
• Providers in Jamestown, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.

Verify at the official NPI Registry.