Individual provider Active NPI

Raquel King, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1518451061
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-116180 Issued in AL
Practice address
2601 Dauphin Island Pkwy
Mobile, AL 36605-3472
Phone
(251) 690-8101
NPI assigned
Jun 19, 2018
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-116180 AL Primary

Addresses

Primary practice location

2601 Dauphin Island Pkwy
Mobile, AL 36605-3472

Mailing address

PO Box 2867
Mobile, AL 36652-2867
Phone (251) 690-8158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190130002954 AL Practitioner - Nurse Practitioner 0345587226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile County Board of HealthGroup PAC ID 9931208386, 26 clinicians

Practice addresses (Care Compare)

5580 Inn Rd
Mobile, AL 36619-1904
Phone (251) 666-7413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-116180ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile County Board of Health CurrentSince Aug 20, 2018 Accepting new patients
Mobile County Board of Health Current Accepting new patients
Mobile County Board of Health CurrentSince Aug 20, 2018 Accepting new patients

Locations

19260 N Mobile St
Citronelle, AL 36522
Phone (251) 866-5585

251 N Bayou St
Mobile, AL 36603
Phone (251) 690-8158

2601 Dauphin Island Pkwy
Mobile, AL 36605
Phone (251) 445-3450

4009 Saint Stephens Rd
Mobile, AL 36612
Phone (251) 456-1399

5580 Inn Rd
Mobile, AL 36619
Phone (251) 410-4394

Interoperability endpoints

  • Direct secure messaging: raquel.king.1@15479.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1518451061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2867",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366522867",
            "telephone_number": "251-690-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 DAUPHIN ISLAND PKWY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366053472",
            "telephone_number": "251-690-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "RAQUEL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-116180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.