Active NPI
Jasmine King
- Durable Medical Equipment & Medical Supplies
- Fayetteville, NC
National Provider Identifier
1679289219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 4140 Ferncreek Dr Ste 300
Fayetteville, NC 28314-2566 - Phone
- (910) 502-3741
- Fax
- (910) 939-6402
- NPI assigned
- Jan 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NC | Primary | |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
4140 Ferncreek Dr Ste 300
Fayetteville, NC 28314-2566
Mailing address
7712 N Ancon Dr
Fayetteville, NC 28304-0400
Phone (910) 502-3741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1679289219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7712 N ANCON DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283040400",
"telephone_number": "910-502-3741",
"fax_number": "910-939-6402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 FERNCREEK DR STE 300",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283142566",
"telephone_number": "910-502-3741",
"fax_number": "910-939-6402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JASMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-26",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.