Jasper Monic King

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.004432 Issued in OH

Practice address

211 Mathew St
Painesville, OH 44077-3121

Phone

(216) 280-7521

NPI assigned

Jun 30, 2016

Last updated

Sep 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1730530866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MATHEWS ST",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773121",
            "telephone_number": "216-647-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MATHEW ST",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773121",
            "telephone_number": "216-280-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JASPER",
        "middle_name": "MONIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401313351011",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.004432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simone Kilgore, LPN
• Desung Kim, M.D.
• Kimberly White
• Kindred
• Carmelita King, RN, EMT-P
• Kiana King, PHARMD
• Malvina King
• Brandon Kizer, QHMS
• Senta Loree Kline, LSW
• Joan Louise Knerr, COTA/L

• Peer Specialist in Painesville, OH
• Providers in Painesville, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; 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.