Individual provider Active NPI

Amy Beth King, NP

  • Gerontology Nurse Practitioner
  • Peterborough, NH
National Provider Identifier
1558685693
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
076675-23 Issued in NH
Practice address
454 Old Street Rd Ste 207
Peterborough, NH 03458-1200
Phone
(603) 924-4664
Fax
(603) 924-8653
NPI assigned
Mar 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 076675-23 NH
Gerontology Nurse Practitioner 363LG0600X 076675-23 NH Primary

Addresses

Primary practice location

454 Old Street Rd Ste 207
Peterborough, NH 03458-1200

Mailing address

454 Old Street Rd Ste 207
Peterborough, NH 03458-1200
Phone (603) 924-4664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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

Enrollment IDStateProvider typePAC IDDetails
I20100915000697 MA Practitioner - Nurse Practitioner 1658496518
I20250424001147 NH Practitioner - Nurse Practitioner 1658496518 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
076675-23NHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monadnock Community Hospital Current Accepting new patients
Monadnock Community Hospital CurrentSince May 1, 2025 Accepting new patients
Monadnock Community Hospital CurrentSince May 1, 2025 Accepting new patients
Jose M. Amparo MD PC Past Accepting new patients
Perpetual Health Clinic, Inc. Past Accepting new patients

Locations

12 Elm St
Antrim, NH 03440
Phone (603) 588-4200

452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699

454 Old Street Rd
Ste 107
Peterborough, NH 03458
Phone (603) 924-2600

454 Old Street Rd
Ste 207
Peterborough, NH 03458
Phone (603) 924-4664

Organizations & group practices 5

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": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1558685693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 OLD STREET RD STE 207",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581200",
            "telephone_number": "603-924-4664",
            "fax_number": "603-924-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 OLD STREET RD STE 207",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581200",
            "telephone_number": "603-924-4664",
            "fax_number": "603-924-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "AMY",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "076675-23",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NH",
            "license": "076675-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peterborough, NH

Sources for this page

Verify at the official NPI Registry.