Dewonia Lanishe King, MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12966 Issued in TN

Practice address

360 E Eh Crump Blvd
Memphis, TN 38126-5310

Phone

(901) 435-1461

Fax

(901) 946-3944

NPI assigned

Oct 12, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1639367790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 MEADOWFAIR RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381187643",
            "telephone_number": "901-365-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E EH CRUMP BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381265310",
            "telephone_number": "901-435-1461",
            "fax_number": "901-946-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DEWONIA",
        "middle_name": "LANISHE",
        "name_prefix": "Ms.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlie King
• D Katrina Mitchell King, FNP
• Danielle Ranae King, PSY.D.
• Demetria L King
• Dewitt H King, D.D.S.
• Grant Thomas King, D.D.S., M.D.S.
• Helen Ruth King
• Jacqueline Yvonne King
• Jason M. King, B.A.
• Jennifer King, NP-C

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.