Active NPI
Amanda Renee King, DO
- Psychiatry Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DO2985
- Practice address
- 526 S Tonopah Dr Ste 200
Las Vegas, NV 89106-4013 - Phone
- (702) 440-8430
- NPI assigned
- Mar 20, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DO2985 | NV | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | DO2985 | NV |
Addresses
Primary practice location
526 S Tonopah Dr Ste 200
Las Vegas, NV 89106-4013
Mailing address
5515 Blue Diamond Road
Suite 102 PMB 1011
Las Vegas, NV 89139
Phone (317) 450-3454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CO, AZ, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6600 W Charleston Blvd
Suite 142
Las Vegas, NV 89146-9001
Phone (702) 440-8430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO2985 | NV | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry Services Professional Corporation Khurana Jeider | Psychiatry | Current | Accepting new patients |
| Lisa a Durette MD PLLC | Child & Adolescent Psychiatry | Current | Accepting new patients |
| Lisa a Durette MD PLLC | Psychiatry | Current | Accepting new patients |
| Direct Doctor Care PLLC | Current | Accepting new patients |
Locations
1600 W University Ave
Ste 104
Flagstaff, AZ 86001
Phone (888) 376-5880
1500 N Grant St
#8029
Denver, CO 80203
509 S Middleton Rd
Ste 105
Middleton, ID 83644
Phone (208) 668-2080
840 S Rancho Dr
#4901
Las Vegas, NV 89106
6600 W Charleston Blvd
Ste 140160
Las Vegas, NV 89146
6600 W Charleston Blvd
Ste 140
Las Vegas, NV 89146
Phone (702) 440-8440
526 S Tonopah Dr
Ste 200
Las Vegas, NV 89106
Phone (702) 440-8430
7291 W Charleston Blvd
Ste 120
Las Vegas, NV 89117
Phone (702) 440-8440
552 E Charleston Blvd
Las Vegas, NV 89104
Phone (702) 440-8440
840 S Rancho Dr
Ste 4337
Las Vegas, NV 89106
6600 W Charleston Blvd
Ste 142
Las Vegas, NV 89146
Phone (702) 440-8430
5929 Westgate Blvd
Ste C
Tacoma, WA 98406
Phone (253) 368-6227
Organizations & group practices 5
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.
-
- Child & Adolescent Psychiatry Physician
- Las Vegas, NV
- NPI 1053880856
-
- Child & Adolescent Psychiatry Physician
- Las Vegas, NV
- NPI 1669679205
-
- Psychiatry Physician
- Las Vegas, NV
- NPI 1225887375
AZ, CO, ID
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Vegas, NV
- NPI 1235633421
Psychiatry
-
- Family Medicine Physician
- Middleton, ID
- NPI 1871112094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1740641661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5515 BLUE DIAMOND ROAD",
"address_2": "SUITE 102 PMB 1011",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89139",
"telephone_number": "317-450-3454",
"fax_number": "317-647-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 S TONOPAH DR STE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064013",
"telephone_number": "702-440-8430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "AMANDA",
"middle_name": "RENEE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-20",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NV",
"license": "DO2985",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NV",
"license": "DO2985",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.