Judith King, CFNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

000037306N1 Issued in OR

Practice address

214 NE Outlook Ave
Grants Pass, OR 97526-1412

Phone

(541) 474-5665

Fax

(547) 474-4435

NPI assigned

Jul 18, 2005

Last updated

Jan 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Judith a King MN FNP PC

  • Family Nurse Practitioner
  • Grants Pass, OR
  • NPI 1154621613
  Authorized official Same address or phone

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1588663900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 NE OUTLOOK AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261412",
            "telephone_number": "541-474-5665",
            "fax_number": "541-474-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 NE OUTLOOK AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261412",
            "telephone_number": "541-474-5665",
            "fax_number": "547-474-4435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 NW Midland Ave",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975261269",
            "country_code": "US",
            "telephone_number": "541-474-5665",
            "fax_number": "541-474-4435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "JUDITH",
        "name_prefix": "Ms.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "000037306N1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074450",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debbie Jean Kiefer
• Lisa Annette Kiehn
• Karsyn Danielle Kimbrough, PA
• Robyn Marie-Jeanne Kimmel, HAS-T
• Felicia Ann King
• Lindsey King
• Robert R King
• Kari Kingsolver
• Derrick Kinley
• Alexandrea Lorraine Kiser

• Nurse Practitioner in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.