Individual provider Active NPI

Kristen King, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • High Point, NC
National Provider Identifier
1740845528
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5011787 Issued in NC
Practice address
3755 Admiral Dr Ste 105
High Point, NC 27265-1554
Phone
(336) 673-5097
Fax
(336) 217-8847
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 25753 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5011787 NC Primary

Addresses

Primary practice location

3755 Admiral Dr Ste 105
High Point, NC 27265-1554

Mailing address

3755 Admiral Dr Ste 105
High Point, NC 27265-1554
Phone (336) 673-5097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190730001871 NC Practitioner - Nurse Practitioner 8022344951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saved Health IncGroup PAC ID 2860823101, 18 clinicians

Practice addresses (Care Compare)

3755 Admiral Dr
Suite 105a
High Point, NC 27265-1554
Phone (336) 673-5097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5011787NCMDPsychiatric/Mental Health Nurse Practitioner
25753TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saved Health Inc Psychiatric/Mental Health CurrentSince Aug 1, 2023 Accepting new patients

Locations

3755 Admiral Dr
Ste 105
High Point, NC 27265
Phone (336) 673-5097

3755 Admiral Dr
Ste 105A
High Point, NC 27265
Phone (336) 210-8409

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.

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1740845528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 ADMIRAL DR STE 105",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651554",
            "telephone_number": "336-673-5097",
            "fax_number": "336-203-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 ADMIRAL DR STE 105",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651554",
            "telephone_number": "336-673-5097",
            "fax_number": "336-217-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KRISTEN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "25753",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5011787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.