Shannon Nicholle King, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

95030038 Issued in CA

Practice address

2741 Hamner Ave Ste 208
Norco, CA 92860-3630

Phone

(951) 427-1395

NPI assigned

May 4, 2024

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Le Meilleur Beauty & Wellness

  dba Luma Vie Functional Wellness and Hormone Therapy

  • Medical Specialty Clinic/Center
  • Norco, CA
  • NPI 1629945613
  NPD

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

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1578310769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 HAMNER AVE STE 208",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603630",
            "telephone_number": "951-427-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 HAMNER AVE STE 208",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603630",
            "telephone_number": "951-427-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SHANNON",
        "middle_name": "NICHOLLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-04",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030038",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95030038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2741 Hamner Ave Ste 208",
            "city": "Norco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928603630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jorge A. Kim
• Kevin Kim, DDS
• Sharon Kim
• So Hyun Kim
• Lauren Breann King, CCC-SLP
• Megan Lucille Kinter, PT, DPT, PCS
• KMJW LLC
• Heidi Kocharian
• Charles Chang Young Koh
• Amanda Kollee

• Women's Health Nurse Practitioner in Norco, CA
• Providers in Norco, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.