Jerome Watson King, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

962197 Issued in TX

Practice address

4015 22ND PL
Lubbock, TX 79410-1119

Phone

(806) 725-0000

NPI assigned

May 24, 2024

Sex

Male

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1659110997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 PRENTISS AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794163725",
            "telephone_number": "806-777-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101119",
            "telephone_number": "806-725-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JEROME",
        "middle_name": "WATSON",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "962197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy A King, LPC
• David Anthony King, PAC
• David Warren King Jr., PH.D.
• Donald Wayne King Jr., CRNA
• Dyala King, MSN, APRN, PMHNP-BC
• Magan Lynn King, RN, ACNP-BC
• Melissa K King, LMSW, LAC
• Randall Neil King, BC-HIS
• Robert Randolph King, M.D.
• Spencer Douglas King

• Pediatric Registered Nurse in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Pediatric Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.