Chantaya Monique King, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2000150468 Issued in MO

Practice address

4630 Robbins Grove Dr
Florissant, MO 63034-2840

Phone

(314) 458-5451

NPI assigned

Jan 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Holistic Healthcare LLC

  • Home Health Agency
  • Florissant, MO
  • NPI 1972211431
  NPD Authorized official
• Holistic Healthcare LLC

  • Nursing Facility/Intermediate Care Facility
  • Florissant, MO
  • NPI 1417334137
  NPD (past)

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1629435870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 ROBBINS GROVE DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342840",
            "telephone_number": "314-458-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 ROBBINS GROVE DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342840",
            "telephone_number": "314-458-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CHANTAYA",
        "middle_name": "MONIQUE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2000150468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Kyle Killiebrew
• Kim Lee McDonald, M.D., P.C.
• So Youn Youn Kim-Shepherd, FNP
• Steven Kimbrew, PTA
• Athisha King
• Margaret Ann King, BS
• Veronica Lynn Kirk
• Kling Orthodontics Inc
• Suzanne Renee Klyn
• William Stephen Knapp, D.O.

• Registered Nurse in Florissant, MO
• Providers in Florissant, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.