Active NPI
Nancy King, RD
- Registered Dietitian
- Fort Walton Beach, FL
National Provider Identifier
1699875534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND5325
- Practice address
- 1005 Mar Walt Drive
Internal Medicine Department
Fort Walton Beach, FL 32547-6707 - Phone
- (850) 863-8100
- Fax
- (850) 862-6148
- NPI assigned
- Sep 22, 2006
- Last updated
- May 15, 2008
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Registered Dietitian | 133V00000X | ND5325 | FL | Primary |
Addresses
Primary practice location
1005 Mar Walt Drive
Internal Medicine Department
Fort Walton Beach, FL 32547-6707
Mailing address
1005 Mar Walt Drive
Internal Medicine Department
Fort Walton Beach, FL 32547-6707
Phone (850) 863-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00461299 | Other | DIETETIC REGISTRATION |
Other names 1
- Nancy King McLaurin
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1699875534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 MAR WALT DRIVE",
"address_2": "INTERNAL MEDICINE DEPARTMENT",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476707",
"telephone_number": "850-863-8100",
"fax_number": "850-862-6148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 MAR WALT DRIVE",
"address_2": "INTERNAL MEDICINE DEPARTMENT",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476707",
"telephone_number": "850-863-8100",
"fax_number": "850-862-6148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "NANCY",
"name_prefix": "Dr.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND5325",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETETIC REGISTRATION",
"identifier": "00461299",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "MCLAURIN",
"middle_name": "KING",
"credential": "RD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.