Active NPI
Christina R King, CNP
- Family Nurse Practitioner
- Worthington, OH
National Provider Identifier
1710356290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.17415
- Practice address
- 55 Caren Avenue
Suite 170
Worthington, OH 43085-2552 - Phone
- (614) 846-1527
- Fax
- (614) 846-1704
- NPI assigned
- Sep 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.17415 | OH | Primary |
Addresses
Primary practice location
55 Caren Avenue
Suite 170
Worthington, OH 43085-2552
Mailing address
55 Caren Avenue
Suite 170
Worthington, OH 43085-2552
Phone (614) 846-1527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0143963 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.17415 | OH | MD | Family Nurse Practitioner |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470700800000",
"number": "1710356290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CAREN AVENUE",
"address_2": "SUITE 170",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430852552",
"telephone_number": "614-846-1527",
"fax_number": "614-846-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CAREN AVENUE",
"address_2": "SUITE 170",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430852552",
"telephone_number": "614-846-1527",
"fax_number": "614-846-1704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "CHRISTINA",
"middle_name": "R",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2016-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.17415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0143963",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worthington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.