Active NPI
Kimberly Rae King, AU.D.
- Audiologist
- North Myrtle Beach, SC
National Provider Identifier
1720057011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3045
- Practice address
- 640 6TH Ave S
North Myrtle Beach, SC 29582-3310 - Phone
- (843) 663-4327
- Fax
- (843) 663-3277
- NPI assigned
- Mar 17, 2006
- Last updated
- Jun 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 3045 | SC | Primary |
Addresses
Primary practice location
640 6TH Ave S
North Myrtle Beach, SC 29582-3310
Mailing address
640 6TH Ave S
North Myrtle Beach, SC 29582-3310
Phone (843) 663-4327
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87726 | Other | SC | UNITEDHEALTHCARE |
| SA0405 | Medicaid | SC | |
| Q325400281 | Other | SC | BCBS OF SC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Hearing Solutions, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist-Hearing Aid Fitter
- North Myrtle Beach, SC
- NPI 1700938545
-
- Audiologist-Hearing Aid Fitter
- Southport, NC
- NPI 1891828950
-
- Hearing Aid Equipment
- Supply, NC
- NPI 1659620979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1720057011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 6TH AVE S",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295823310",
"telephone_number": "843-663-4327",
"fax_number": "843-663-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 6TH AVE S",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295823310",
"telephone_number": "843-663-4327",
"fax_number": "843-663-3277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "KIMBERLY",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "3045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "87726",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA0405",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF SC",
"identifier": "Q325400281",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.