Individual provider Active NPI

Amanda Renee King, DO

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1740641661
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO2985 Issued in NV
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

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, ID4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20221020002335 NV Practitioner - Psychiatry 6305133679 Reassigns benefits to 2 organizations
I20251003000652 CO Practitioner - Psychiatry 6305133679 Reassigns benefits to 1 organization
I20260202000904 AZ Practitioner - Psychiatry 6305133679 Reassigns benefits to 1 organization
I20260330003305 ID Practitioner - Psychiatry 6305133679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stark Medicine McKay Khurana Jeider PLLCGroup PAC ID 1557601978, 23 clinicians

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

LicenseStateTypeSpecialty
DO2985NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry Services Professional Corporation Khurana Jeider Psychiatry CurrentSince Sep 1, 2025 Accepting new patients
Lisa a Durette MD PLLC Child & Adolescent Psychiatry CurrentSince Jan 18, 2023 Accepting new patients
Lisa a Durette MD PLLC Psychiatry CurrentSince Jan 18, 2023 Accepting new patients
Direct Doctor Care PLLC CurrentSince Mar 1, 2026 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.

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

Verify at the official NPI Registry.